BARTONELLA QUINTANA-ASSOCIATED NEURORETINITIS: LONGITUDINAL SPECTRAL-DOMAIN OPTICAL COHERENCE TOMOGRAPHIC FINDINGS.
OBJECTIVE
To report an unusual case of neuroretinitis caused by Bartonella quintana and its spectral-domain optical coherence tomographic (SD-OCT) features.


METHODS
A 12-year-old girl presented with unilateral neuroretinitis with stellate maculopathy. Bartonellosis was confirmed after serologic testing for antibodies to B. quintana.


RESULTS
Color photograph of the right eye revealed papillitis and stellate macular exudation. spectral-domain optical coherence tomography of the right eye revealed hyperreflective dots in the outer nuclear and outer plexiform layers, as well as disruption and loss of the external limiting membrane, ellipsoid zone, and interdigitation zone in the foveal area.


CONCLUSIONS
The authors report an unusual case of neuroretinitis by B. quintana and its spectral-domain optical coherence tomographic findings.
*Department of Ophthalmology, Federal University of Espirito Santo (UFES), Espirito Santo, Brazil; and †Department of Ophthalmology, Federal University of Sao Paulo (UNIFESP), Sao Paulo, Brazil.
Luiz Guilherme M
LGM
Mello
Luiz H
LH
Lima
Thiago
T
Cabral
Mariana Z
MZ
Rodrigues
Paulo M
PM
Peçanha
Rubens
R
Belfort
D000907:Antibodies, Bacterial / Q000276:immunology; D018413:Bartonella quintana / Q000276:immunology / Q000302:isolation & purification*; D002648:Child; D003937:Diagnosis, Differential; D015818:Eye Infections, Bacterial / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D006801:Humans; D012160:Retina / Q000382:microbiology / Q000473:pathology*; D012173:Retinitis / Q000175:diagnosis* / Q000382:microbiology; D041623:Tomography, Optical Coherence / Q000379:methods*; D014205:Trench Fever / Q000175:diagnosis* / Q000382:microbiology
D000907:Antibodies, Bacterial