Atypical Bartonella hensalae chorioretinitis in an immunocompromised patient.
OBJECTIVE
To report an atypical case of chorioretinopathy in a patient with bilateral renal transplantations.


METHODS
A 55-year-old female was referred for management of birdshot chorioretinopathy. Ophthalmologic examination revealed bilateral yellowish, chorioretinal lesions with adjacent hemorrhages.


RESULTS
Angiography demonstrated lesions with hyperfluorescence, leakage, and diffuse macular edema. OCT showed intraretinal edema. Laboratory evaluation revealed IgG antibodies for Bartonella hensalae. Treatment with oral ciprofloxacin led to regression of lesions, resolution of macular edema, and improvement in visual acuity.


CONCLUSIONS
Multifocal chorioretinal lesions associated with B. hensalae can be atypical ophthalmic manifestations of cat-scratch disease (CSD), which may occur in immunosuppressed patients. Recognition of underlying disease and appropriate therapy can lead to improved outcomes.
Patel
Sayjal J
SJ
School of Medicine, Wilmer Eye Institute, The Johns Hopkins University, Baltimore, Maryland, USA.
Petrarca
Robert
R
Shah
Syed Mahmood
SM
Zimmer-Galler
Ingrid
I
Janjua
Kashif A
KA
Do
Diana V
DV
Nguyen
Quan Dong
QD
D016917:Angiomatosis, Bacillary / Q000188:drug therapy; D000890:Anti-Infective Agents; D001295:Atypical Bacterial Forms; D018416:Bartonella henselae; D002825:Chorioretinitis / Q000175:diagnosis / Q000382:microbiology*; D002939:Ciprofloxacin / Q000627:therapeutic use; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D016867:Immunocompromised Host; D016030:Kidney Transplantation; D008269:Macular Edema / Q000382:microbiology; D008875:Middle Aged; D041623:Tomography, Optical Coherence
D000890:Anti-Infective Agents; D002939:Ciprofloxacin