- Email: [email protected]
Neuroretinitis secondary to Bartonella henselae in the emergent setting
Neuroretinitis Secondary to Bartonella henselae in the Emergent Setting James B. Martel MD, MPH, FACS PII: DOI: Reference:
S0735-6757(14)00956-5 doi: 10.1016/j.ajem.2014.12.054 YAJEM 54712
To appear in:
American Journal of Emergency Medicine
Received date: Accepted date:
22 December 2014 22 December 2014
Please cite this article as: Martel James B., Neuroretinitis Secondary to Bartonella henselae in the Emergent Setting, American Journal of Emergency Medicine (2014), doi: 10.1016/j.ajem.2014.12.054
This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT Neuroretinitis Secondary to Bartonella henselae in the Emergent Setting
Research Department, Martel Eye Medical Group, Rancho Cordova, CA, USA
b
RI P
a
T
James B Martel, MD MPH FACSa-c
Graduate Medical Education, California Northstate University College of Medicine, Elk Grove,
Department of Ophthalmology, Sutter Medical Health, Roseville, CA, USA
MA
Corresponding Author and Reprint Requests:
California Northstate University
CE
Elk Grove, CA 95757
PT
College of Medicine
ED
James B Martel, MD MPH
9700 West Taron Drive
NU
c
SC
CA, USA
AC
Telephone: (916) 686-7300 Fax: (916) 686-7310
Email: [email protected]
Conflicts of Interest and Source of Funding: There are no sources of funding or conflicts of interest to disclose.
Key Words: optic neuritis, tick-borne disease, cat scratch disease
ACCEPTED MANUSCRIPT Dear Editor, We appreciate and concur with the added insight on the aspects of our case report. Borreliosis
RI P
T
was the initially suspected cause due to the history of a tick bite and a headache. Bartonella henselae and quintana IgG and IgM were drawn, which showed positivity for B. henselae. PCR
SC
analysis of blood or anterior chamber paracentesis was not utilized, however, this would have
NU
greatly supported this diagnosis.
MA
Although the use of steroids in Bartonella neuroretinitis remains controversial, we believe in certain cases there are benefits - such as expediting recovery and ultimate visual outcome as seen
ED
in this report. We suspect the presence of a choroidal detachment was likely from inflammatory
AC
CE
PT
causes and did make this a unique feature of the case.
S0735-6757(14)00956-5 doi: 10.1016/j.ajem.2014.12.054 YAJEM 54712
To appear in:
American Journal of Emergency Medicine
Received date: Accepted date:
22 December 2014 22 December 2014
Please cite this article as: Martel James B., Neuroretinitis Secondary to Bartonella henselae in the Emergent Setting, American Journal of Emergency Medicine (2014), doi: 10.1016/j.ajem.2014.12.054
This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT Neuroretinitis Secondary to Bartonella henselae in the Emergent Setting
Research Department, Martel Eye Medical Group, Rancho Cordova, CA, USA
b
RI P
a
T
James B Martel, MD MPH FACSa-c
Graduate Medical Education, California Northstate University College of Medicine, Elk Grove,
Department of Ophthalmology, Sutter Medical Health, Roseville, CA, USA
MA
Corresponding Author and Reprint Requests:
California Northstate University
CE
Elk Grove, CA 95757
PT
College of Medicine
ED
James B Martel, MD MPH
9700 West Taron Drive
NU
c
SC
CA, USA
AC
Telephone: (916) 686-7300 Fax: (916) 686-7310
Email: [email protected]
Conflicts of Interest and Source of Funding: There are no sources of funding or conflicts of interest to disclose.
Key Words: optic neuritis, tick-borne disease, cat scratch disease
ACCEPTED MANUSCRIPT Dear Editor, We appreciate and concur with the added insight on the aspects of our case report. Borreliosis
RI P
T
was the initially suspected cause due to the history of a tick bite and a headache. Bartonella henselae and quintana IgG and IgM were drawn, which showed positivity for B. henselae. PCR
SC
analysis of blood or anterior chamber paracentesis was not utilized, however, this would have
NU
greatly supported this diagnosis.
MA
Although the use of steroids in Bartonella neuroretinitis remains controversial, we believe in certain cases there are benefits - such as expediting recovery and ultimate visual outcome as seen
ED
in this report. We suspect the presence of a choroidal detachment was likely from inflammatory
AC
CE
PT
causes and did make this a unique feature of the case.