[Ocular bartonellosis in an HIV-HVC coinfected patient].
Bartonella henselae is the etiologic agent of the cat scratch disease and in immunocompromised patients, of bacillary angiomatosis and peliosis hepatis. Less often, ocular complications associated with B. henselae infection have been reported in immunocompetent patients and five times in HIV-infected patients. We report the case of a 42-year-old woman, coinfected by HIV-HCV, presenting with cirrhosis, who owned a cat and was hospitalized for bilateral loss of visual acuity. Ophthalmologic examination revealed bilateral papillitis with hyalitis. Nuclear magnetic resonance revealed a retrobulbar neuritis. Confirmation was given by blood tests positive for B. henselae and the exclusion of other causes of neuroretinitis with biological data. Doxycycline cured the disease rapidly.
Merle De Boever
C
C
Service maladies infectieuses et tropicales, CHU de Montpellier, 80 avenue Augustin-Flèche, Montpellier, France. c-merle_de_boever@chu-montpellier.fr
Mura
F
F
Brun
M
M
Reynes
J
J
D000328:Adult; D000818:Animals; D000829:Animals, Domestic; D001474:Bartonella Infections / Q000175:diagnosis* / Q000188:drug therapy; D018416:Bartonella henselae; D002372:Cat-Scratch Disease / Q000175:diagnosis / Q000188:drug therapy; D002415:Cats; D004318:Doxycycline / Q000627:therapeutic use*; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006526:Hepatitis C / Q000150:complications*; D006801:Humans; D016896:Treatment Outcome
D004318:Doxycycline