Unilateral neuroretinitis revealing cat-scratch disease

La Revue de médecine interne
Y ZekraouiA Berraho

Abstract

We report a case of cat-scratch disease neuroretinitis. A 26-year-old man was referred for severe right visual loss. Posterior segment examination showed a papilledema with macular edema. Bartonella henselae immunoglobulin G testing was positive. Four weeks of antibiotic therapy combining oral ciprofloxacin and doxycycline led to progressive resolution of the neuroretinitis and improvement in visual acuity. This report reminds that B. henselae infection can be the cause of neuroretinitis. Its prognosis can be improved by early treatment.

References

Feb 16, 1994·JAMA : the Journal of the American Medical Association·J E KoehlerJ W Tappero
Feb 1, 1997·The Pediatric Infectious Disease Journal·J W BassD A Person
Aug 12, 1999·Ophthalmology·W A SolleyP Sternberg
Mar 24, 2009·La Revue de médecine interne·C Roubaud-BaudronO Lambotte

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Citations

Oct 2, 2013·La Revue de médecine interne·A-S RességuierO Aumaître
Jun 25, 2013·La Revue de médecine interne·B CouturierE Liozon

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