Clinical Profile and Visual Outcome of Ocular Bartonellosis in Malaysia
Background. Ocular bartonellosis can present in various ways, with variable visual outcome. There is limited data on ocular bartonellosis in Malaysia. Objective. We aim to describe the clinical presentation and visual outcome of ocular bartonellosis in Malaysia. Materials and Methods. This was a ret...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Journal of Tropical Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/7946123 |
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| author | Chai Lee Tan Lai Chan Fhun Evelyn Li Min Tai Nor Hasnida Abdul Gani Julieana Muhammed Tengku Norina Tuan Jaafar Liza Sharmini Ahmad Tajudin Wan-Hazabbah Wan Hitam |
| author_facet | Chai Lee Tan Lai Chan Fhun Evelyn Li Min Tai Nor Hasnida Abdul Gani Julieana Muhammed Tengku Norina Tuan Jaafar Liza Sharmini Ahmad Tajudin Wan-Hazabbah Wan Hitam |
| author_sort | Chai Lee Tan |
| collection | DOAJ |
| description | Background. Ocular bartonellosis can present in various ways, with variable visual outcome. There is limited data on ocular bartonellosis in Malaysia. Objective. We aim to describe the clinical presentation and visual outcome of ocular bartonellosis in Malaysia. Materials and Methods. This was a retrospective review of patients treated for ocular bartonellosis in two ophthalmology centers in Malaysia between January 2013 and December 2015. The diagnosis was based on clinical features, supported by a positive Bartonella spp. serology. Results. Of the 19 patients in our series, females were predominant (63.2%). The mean age was 29.3 years. The majority (63.2%) had unilateral involvement. Five patients (26.3%) had a history of contact with cats. Neuroretinitis was the most common presentation (62.5%). Azithromycin was the antibiotic of choice (42.1%). Concurrent systemic corticosteroids were used in approximately 60% of cases. The presenting visual acuity was worse than 6/18 in approximately 60% of eyes; on final review, 76.9% of eyes had a visual acuity better than 6/18. Conclusion. Ocular bartonellosis tends to present with neuroretinitis. Azithromycin is a viable option for treatment. Systemic corticosteroids may be considered in those with poor visual acuity on presentation. |
| format | Article |
| id | doaj-art-16b5de29d40f401e84653d50fe2f49b5 |
| institution | Kabale University |
| issn | 1687-9686 1687-9694 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Tropical Medicine |
| spelling | doaj-art-16b5de29d40f401e84653d50fe2f49b52025-02-03T06:13:22ZengWileyJournal of Tropical Medicine1687-96861687-96942017-01-01201710.1155/2017/79461237946123Clinical Profile and Visual Outcome of Ocular Bartonellosis in MalaysiaChai Lee Tan0Lai Chan Fhun1Evelyn Li Min Tai2Nor Hasnida Abdul Gani3Julieana Muhammed4Tengku Norina Tuan Jaafar5Liza Sharmini Ahmad Tajudin6Wan-Hazabbah Wan Hitam7Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Ophthalmology, Hospital Raja Perempuan Zainab 2, 15586 Kota Bharu, Kelantan, MalaysiaDepartment of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Ophthalmology, Hospital Raja Perempuan Zainab 2, 15586 Kota Bharu, Kelantan, MalaysiaDepartment of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, MalaysiaBackground. Ocular bartonellosis can present in various ways, with variable visual outcome. There is limited data on ocular bartonellosis in Malaysia. Objective. We aim to describe the clinical presentation and visual outcome of ocular bartonellosis in Malaysia. Materials and Methods. This was a retrospective review of patients treated for ocular bartonellosis in two ophthalmology centers in Malaysia between January 2013 and December 2015. The diagnosis was based on clinical features, supported by a positive Bartonella spp. serology. Results. Of the 19 patients in our series, females were predominant (63.2%). The mean age was 29.3 years. The majority (63.2%) had unilateral involvement. Five patients (26.3%) had a history of contact with cats. Neuroretinitis was the most common presentation (62.5%). Azithromycin was the antibiotic of choice (42.1%). Concurrent systemic corticosteroids were used in approximately 60% of cases. The presenting visual acuity was worse than 6/18 in approximately 60% of eyes; on final review, 76.9% of eyes had a visual acuity better than 6/18. Conclusion. Ocular bartonellosis tends to present with neuroretinitis. Azithromycin is a viable option for treatment. Systemic corticosteroids may be considered in those with poor visual acuity on presentation.http://dx.doi.org/10.1155/2017/7946123 |
| spellingShingle | Chai Lee Tan Lai Chan Fhun Evelyn Li Min Tai Nor Hasnida Abdul Gani Julieana Muhammed Tengku Norina Tuan Jaafar Liza Sharmini Ahmad Tajudin Wan-Hazabbah Wan Hitam Clinical Profile and Visual Outcome of Ocular Bartonellosis in Malaysia Journal of Tropical Medicine |
| title | Clinical Profile and Visual Outcome of Ocular Bartonellosis in Malaysia |
| title_full | Clinical Profile and Visual Outcome of Ocular Bartonellosis in Malaysia |
| title_fullStr | Clinical Profile and Visual Outcome of Ocular Bartonellosis in Malaysia |
| title_full_unstemmed | Clinical Profile and Visual Outcome of Ocular Bartonellosis in Malaysia |
| title_short | Clinical Profile and Visual Outcome of Ocular Bartonellosis in Malaysia |
| title_sort | clinical profile and visual outcome of ocular bartonellosis in malaysia |
| url | http://dx.doi.org/10.1155/2017/7946123 |
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