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Published on: September 11, 2013
Macular hole following Bartonella henselae neuroretinitis
A Donnio1, A Jean-Charles, H Merle
1Service d'Ophtalmologie, Centre Hospitalier Universitaire de Fort de France, Hopital Pierre Zobda-Quitman, Fort de France Cedex, Martinique - France (French West Indies).
Purpose:
To report a case of macular hole secondary to Bartonella henselae neuroretinitis.
Methods:
Observational case report. An 11 year-old boy presented urgently with a decrease of visual acuity in the left eye. Posterior segment examination revealed neuroretinitis attributed to Bartonella henselae. Treatment was initiated, resulting in the disappearance of symptoms.
Results:
Follow-up consultations 7 months later showed a further decline in visual acuity secondary to a macular hole.
Conclusions:
Cat scratch disease is a rare pathology and is most often considered benign. Serious complications can nonetheless occur, such as neuroretinitis, choroidal nodules, and disciform keratitis. The authors report a case of sequellar macular hole. They found only one previous report of macular hole caused by B henselae, which, contrary to their case, appeared rapidly 12 days after presentation.
