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Related Experiment Videos

[Cat-scratch disease neuroretinitis].

A Donnio1, C Buestel, E Ventura

  • 1Service d'Ophtalmologie, CHU, Hôpital Pierre Zobda-Quitman, BP 632, 97261 Fort de France. angelique.donnio-cordoba@wanadoo.fr

Journal Francais D'Ophtalmologie
|March 25, 2004
PubMed
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Cat-scratch disease neuroretinitis caused by Bartonella henselae can lead to severe vision loss. Early antibiotic treatment improves prognosis for this Bartonella henselae infection.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Cat-scratch disease (CSD) is a bacterial infection transmitted by cats, primarily caused by Bartonella henselae.
  • Neuroretinitis, inflammation of the optic nerve and retina, can be a rare manifestation of CSD.
  • Prompt diagnosis and treatment are crucial for managing CSD neuroretinitis and preserving vision.

Observation:

  • An 11-year-old boy presented with acute, severe visual loss in his left eye and a flu-like illness.
  • Ocular examination revealed optic disc edema, hemorrhages, serous retinal detachment, and vitreous inflammation.
  • A history of a cat scratch preceded the onset of symptoms by two months.

Findings:

  • Systemic and ocular investigations confirmed Bartonella henselae as the causative agent.

Related Experiment Videos

  • Antibiotic therapy with rifampin and doxycycline led to seroconversion of Bartonella henselae antibodies (IgM to IgG).
  • Bartonella antibodies were also detected in the patient's cat, supporting the diagnosis.

    • Implications:

    • This case highlights Bartonella henselae neuroretinitis as a cause of significant vision impairment.
    • Early diagnosis and treatment of CSD neuroretinitis can lead to improved visual outcomes.
    • Ophthalmologists should consider CSD in the differential diagnosis of neuroretinitis, especially in patients with relevant exposure history.