Vogt-Koyanagi-Harada disease following a serology-proven Bartonella henselae retinitis: a case report
Purpose
To report a case of Vogt-Koyanagi-Harada (VKH) disease following a serology-confirmed bartonella henselae retinitis
Methods
A single case report
Results
A 41-year-old female patient presented with a central scotoma in her right eye (RE). Fundoscopic examination showed a focal retinitis with a macular star in the RE. Work-up revealed positive bartonellosis serology. The patient was treated with oral azithromycine and oral steroids during four weeks with subsequent healing of the retinitis lesion. Three months after initial presentation, the patient complained of loss of vision in both eyes. Ophthalmological examination showed a best-corrected visual acuity (BCVA) of 20/200 on both eyes, bilateral granulomatous panuveitis with bilateral multifocal exudative retinal detachment. Results of multimodal imaging were consistent with the diagnosis of acute VKH disease. Given the history of positive bartonellosis serology, the patient was treated with doxycycline (200mg/day) for six weeks in association with intravenous methylprednisolone for 5 days followed by oral steroids and progressive tapering. At three-month follow-up, BCVA improved from 20/200 to 20/20 in both eyes associated with resolution of clinical and structural OCT changes
Conclusion
Our case suggests that bartonella henselae infection might be a non-previously reported infectious trigger of VKH disease in genetically predisposed patients. Alternatively, bartonella henselae infection might manifest with panuveitis mimicking VKH disease.
Conflict of interest
No
Authors 1
Last name
KHAIRALLAH
Initials of first name(s)
Molk
Department
Department of Ophthalmology, Tahar Sfar University Hospital
City
Mahdia
Country
Tunisia
Authors 2
Last name
NABI
Initials of first name(s)
Wejd
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Authors 3
Last name
AMMARI
Initials of first name(s)
Wafa
Department
Departement of Ophthalmology, Taher Sfar University Hospital
City
Mahdia
Country
Tunisia
Authors 4
Last name
BEN SAIDI
Initials of first name(s)
Ouss
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Authors 5
Last name
ABROUG
Initials of first name(s)
Nesr
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Authors 6
Last name
KHAIRALLAH
Initials of first name(s)
Monc
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
This website uses cookies to ensure you get the best experience on our website.
Learn more