File number: 27533
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By FELIPE PEREIRA
Co-author(s): Luiz Fernando Teixeira
- Uploaded on Nov 1, 2017.
- Last modified by Caroline Bozell on Nov 2, 2017.
- Appears in
- ocular bartonellosis, neuroretinitis
- Felipe Pereira
- Imaging device
- 40-year-old patient presented with sudden and painless visual acuity loss for 1 day. His initial visual acuity was hand motion. There was positive epidemiology for cat-scratch disease and other serologies tests were negative. Treatment was initiated with 200 mg/day of Doxycycline for 21 days plus oral prednisone 1mg/kg tapered in 4 weeks. The patient presented a favorable evolution with reduction of the peripapillary granuloma and improvement of visual acuity to 20/25.