Abstract:
Neuroretinitis due to Bartonella henselae infection is a rare cause of vision loss in children. Two pediatric cases of acute unilateral vision loss accompanied by edema of the optic nerve on fundoscopic examination are presented. Severe causes of vision loss were excluded. During the course of the disease, macular stellate exudates emerged on control fundoscopic examinations, and diagnosis of neuroretinitis was made. A causative agent was confirmed by serologic examination, as high titers of IgM and IgG antibodies to Bartonella henselae were detected. Both patients significantly recovered after oral antibiotic treatment.
摘要:
由于巴尔通体感染引起的神经视网膜炎是儿童视力丧失的罕见原因。出现了2例急性单侧视力丧失并伴有视神经水肿的小儿病例。排除视力丧失的严重原因。在疾病的过程中,对照眼底镜检查出现黄斑星状渗出,并诊断为神经视网膜炎。通过血清学检查证实了病原体,检测到高滴度的IgM和IgG抗体。口服抗生素治疗后,两名患者均明显康复。