Disseminated bartonellosis presenting as neuroretinitis in a young adult with human immunodeficiency virus infection.
Rapidly declining visual acuity from neuroretinitis should prompt aggressive diagnostic intervention to preserve eyesight. We present a young adult with human immunodeficiency virus (HIV) infection in whom neuroretinitis was the presenting feature of disseminated bartonellosis. Tissue biopsy was required to establish the diagnosis and directed therapy was associated with restored vision.
Dutta
Ankhi
A
Department of Pediatrics, Texas Children's Hospital, Houston, TX, USA. adutta@bcm.edu
Schwarzwald
Heidi L
HL
Edwards
Morven S
MS
D000225:Adenine / Q000031:analogs & derivatives / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019380:Anti-HIV Agents / Q000627:therapeutic use; D001473:Bartonella / Q000302:isolation & purification*; D001474:Bartonella Infections / Q000175:diagnosis* / Q000473:pathology; D001706:Biopsy; D003841:Deoxycytidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D004318:Doxycycline / Q000627:therapeutic use; D004338:Drug Combinations; D000068257:Efavirenz, Emtricitabine, Tenofovir Disoproxil Fumarate Drug Combination; D015658:HIV Infections / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008168:Lung / Q000473:pathology; D008297:Male; D063065:Organophosphonates / Q000627:therapeutic use; D010078:Oxazines / Q000627:therapeutic use; D012173:Retinitis / Q000382:microbiology* / Q000473:pathology; D012293:Rifampin / Q000627:therapeutic use; D016896:Treatment Outcome; D055815:Young Adult
D000900:Anti-Bacterial Agents; D019380:Anti-HIV Agents; D004338:Drug Combinations; D000068257:Efavirenz, Emtricitabine, Tenofovir Disoproxil Fumarate Drug Combination; D063065:Organophosphonates; D010078:Oxazines; D003841:Deoxycytidine; D000225:Adenine; D004318:Doxycycline; D012293:Rifampin