Neuroretinitis following bull ant sting

BMJ Case Rep. 2012 Aug 2:2012:bcr2012006338. doi: 10.1136/bcr-2012-006338.

Abstract

Cat scratch disease causes the majority of cases of neuroretinitis. Neuroretinitis is characterised by clinical features of papillitis, macular oedema and macular star. We report a case study of infection with Bartonella henselae most likely transmitted by a bull ant sting. The patient presented with blurred vision and reduced visual acuity after being stung by an ant in her garden some 7 days earlier. Further testing revealed positive serology to B henselae and the patient improved with appropriate treatment.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Anti-Bacterial Agents / therapeutic use*
  • Ants
  • Bartonella Infections / diagnosis*
  • Bartonella Infections / drug therapy
  • Bartonella Infections / microbiology
  • Bartonella henselae / isolation & purification*
  • Bites and Stings / microbiology
  • Erythromycin / therapeutic use*
  • Female
  • Humans
  • Middle Aged
  • Retinitis / diagnosis*
  • Retinitis / drug therapy
  • Retinitis / microbiology
  • Treatment Outcome
  • Vision Disorders / diagnosis*
  • Vision Disorders / drug therapy
  • Vision Disorders / microbiology

Substances

  • Anti-Bacterial Agents
  • Erythromycin