case_images: PMC10865162_01
case_images: (A) Fundus photo. (B) Fluorescein angiography. (C) Optic disc optical coherence tomography.. Optic disc leakage was noted in the setting of optic neuritis.
case_images: cureus-0016-00000052284-i01.jpg
case_images: PMC10865162_01_cureus-0016-00000052284-i01.jpg
case_images: FIG1
case_images: Ophthalmologic examination revealed unilateral visual loss characterized as 8/10, with papilledema, optic disc pallor, and peripapillary hemorrhage (Figure 1).
case_images: L3-L4 vertebral osteomyelitis with spondylodiscitis on magnetic resonance imaging.
case_images: cureus-0016-00000052284-i02.jpg
case_images: PMC10865162_01_cureus-0016-00000052284-i02.jpg
case_images: FIG2
case_images: These findings prompted a magnetic resonance imaging (MRI) that revealed L3-L4 vertebral osteomyelitis (Figure 2).
case_images: Inflammatory resolution in comparative lumbar magnetic resonance imaging after three months of treatment.
case_images: cureus-0016-00000052284-i03.jpg
case_images: PMC10865162_01_cureus-0016-00000052284-i03.jpg
case_images: FIG3
case_images: Evaluation of the patient after completion of the antibiotic treatment revealed significant symptomatic improvement, inflammatory resolution in comparative lumbar MRI (Figure 3), and negative follow-up Bartonella serology with an IgG of 1:64.
case_images: Optic disc optical coherence tomography showing loss of peripapillary retinal nerve fiber layer thickness.
case_images: cureus-0016-00000052284-i04.jpg
case_images: PMC10865162_01_cureus-0016-00000052284-i04.jpg
case_images: FIG4
case_images: Optical coherence tomography demonstrated sequelae with loss of peripapillary retinal nerve fiber layer thickness (Figure 4).