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Self-remitting Bartonella neuroretinitis without a cat scratch.

Satoshi Akao1, Kotaro Komori1, Ryo Rokutanda1

  • 1Division of Rheumatology, Department of Internal Medicine, Kameda Medical Center, 929 Higashi-cho, Kamogawa-shi, Chiba 296-8602, Japan.

Idcases
|January 26, 2023
PubMed
Summary

Bartonella infection is a primary cause of neuroretinitis, often affecting the eyes in cat-scratch disease (CSD). This ocular condition can occur without typical CSD symptoms and may resolve on its own.

Keywords:
Bartonella henselaeBartonella infectionNeuroretinitisNo history of cat-scratchSelf-remit

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Neuroscience

Background:

  • Bartonella infection is a significant cause of neuroretinitis.
  • Ocular manifestations, including neuroretinitis, are seen in 5-10% of cat-scratch disease (CSD) cases.
  • Bartonella neuroretinitis can present without systemic CSD symptoms.

Purpose of the Study:

  • To highlight Bartonella infection as a key etiology of neuroretinitis.
  • To describe the clinical presentation of Bartonella neuroretinitis.
  • To discuss the potential for spontaneous resolution of Bartonella neuroretinitis.

Main Methods:

  • Literature review of Bartonella-associated neuroretinitis cases.
  • Analysis of clinical features and outcomes.
  • Review of diagnostic criteria and treatment approaches.

Main Results:

  • Bartonella infection is identified as a leading cause of neuroretinitis.
  • Ocular involvement in CSD ranges from 5-10%.
  • Bartonella neuroretinitis cases may lack systemic CSD signs and symptoms.
  • Some cases of Bartonella neuroretinitis demonstrate self-remission.

Conclusions:

  • Bartonella species are crucial pathogens to consider in neuroretinitis diagnosis.
  • Ophthalmologists should be aware of atypical presentations of CSD.
  • The possibility of spontaneous recovery in Bartonella neuroretinitis warrants further investigation.