Demonstration of Bartonella grahamii DNA in ocular fluids of a patient with neuroretinitis.

نویسندگان

  • F T Kerkhoff
  • A M Bergmans
  • A van Der Zee
  • A Rothova
چکیده

We describe the clinical and laboratory features of a 55-year-old human immunodeficiency virus-negative female patient who presented with bilateral intraocular inflammatory disease (neuroretinitis type) and behavioral changes caused by a Bartonella grahamii infection. Diagnosis was based on the PCR analysis of DNA extracted from the intraocular fluids. DNA analysis of the PCR product revealed a 100% identity with the 16S rRNA gene sequence of B. grahamii. The patient was successfully treated with doxycycline (200 mg/day) and rifampin (600 mg/day) for 4 weeks. This is the first report that demonstrates the presence of a Bartonella species in the intraocular fluids of a nonimmunocompromised patient and that indicates that B. grahamii is pathogenic for humans.

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عنوان ژورنال:
  • Journal of clinical microbiology

دوره 37 12  شماره 

صفحات  -

تاریخ انتشار 1999