A case of cat-scratch disease with unusual ophthalmic manifestations.

Abstract

We report a case of cat-scratch disease with unusual posterior segment manifestations. A 12-year-old healthy male presented with three weeks history of decreased visual acuity in the right eye. A significant history of cat exposure and elevated Bartonella titers were present. A large white-gray vascularized mass extending off the optic disk, an early stellate maculopathy, a plaque of choroiditis, an inferior serous retinal detachment involving the macula were present in the right eye. Sector papillitis and a focal area of chorioretinitis along the superotemporal arcade with associated retinal artery to vein anastomosis were present in the left eye. Bilateral optic nerve head involvement including peripapillary angiomatosis, retinal-retinal anastomosis and plaque choroiditis as ocular complications of cat-scratch disease have not been previously described to our knowledge and make this case noteworthy.

• Authors: Nicola G Ghazi, Waler A Sams
• Journal: Middle East African journal of ophthalmology (Middle East Afr J Ophthalmol) 2012 Apr-Jun Vol. 19 Issue 2 Pg. 243-6 ISSN: 0975-1599 [Electronic] India
• PMID: 22623868 (Publication Type: Case Reports, Journal Article)

Topics

• Bartonella henselae (isolation & purification)
• Cat-Scratch Disease (diagnosis, microbiology)
• Child
• Choroiditis (diagnosis, microbiology)
• Diagnosis, Differential
• Eye Infections, Bacterial (diagnosis, microbiology)
• Fluorescein Angiography
• Fundus Oculi
• Humans
• Male
• Retinitis (diagnosis, microbiology)