Bartonella henselae neuroretinitis in cat scratch disease

Reed, John R.; Scales, David K.; Wong, Michael; Lattuada, Charles P.; Dolan, Matthew J.; Schwab, Ivan R.

doi:10.1016/s0161-6420(98)93028-7

Cited by 229 publications

(148 citation statements)

References 31 publications

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“…[3][4][5] Disseminated CSD may involve the eye and cause vision-threatening manifestations, including neuroretinitis, optic neuritis, retinitis, choroiditis, anterior uveitis, vitritis, branch retinal arteriolar and venular occlusions, vasculitis, and peripapillary angiomatosis. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] In 1970, Sweeney and Drance 22 were first to find a connection between CSD and the appearance of neuroretinitis. Since then, numerous reports had been published on cases of neuroretinitis in CSD and it is the most common posterior segment complication of CSD.…”

Section: Introductionmentioning

confidence: 99%

Macular findings on optical coherence tomography in cat-scratch disease neuroretinitis

Habot‐Wilner

Zur

Goldstein

et al. 2011

Eye

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Purpose To describe the macular findings on optical coherence tomography (OCT) in patients with cat-scratch disease (CSD) neuroretinitis. Methods Medical records of all patients diagnosed with CSD neuroretinitis at the Tel Aviv Medical Center between April 2006 and May 2010 were retrospectively reviewed. All patients underwent Stratus OCT macular examination. Results Eight eyes of seven patients with confirmed CSD neuroretinitis, (mean age 33±9.9 years, range 6-48 years) were included in the study. All patients presented clinically with optic nerve swelling and macular edema or macular exudates. OCT demonstrated flattening of the foveal contour, thickening of the neurosensory retina, and accumulation of subretinal fluid (SRF) in all studied eyes. Retinal exudates appeared as multiple hyper-reflective foci in the outer plexiform layer. The average central macular thickness was 460 lm (range 170-906 lm) and the average maximal retinal thickness was 613 lm (range 387-1103 lm), at presentation. The macula appeared normal on repeated exams during follow-up. Conclusion Similar OCT findings were demonstrated in patients with CSD neuroretinitis. SRF was found in all eyes, although was not visible on clinical examination or fluorescein angiography. OCT may be used as an adjunct imaging tool in the diagnosis and follow-up of patients with CSD neuroretinitis.

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Section: Introductionmentioning

confidence: 99%

Macular findings on optical coherence tomography in cat-scratch disease neuroretinitis

Habot‐Wilner

Zur

Goldstein

et al. 2011

Eye

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“…Early signs that help to distinguish B. henselae-associated papillitis and/or neuroretinitis from other forms of anterior optic neuropathy are therefore important for both diagnosis and therapy (9,11) .…”

Section: Discussionmentioning

confidence: 99%

Optic neuropathy secondary to cat scratch disease: case report

Aragão¹,

Ramos²,

Bezerra³

et al. 2010

Arq. Bras. Oftalmol.

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Optic neuropathy due to cat scratch disease is a relatively infrequent occurrence associated with macular star formation and is characterized by sudden painless loss of vision mostly unilateral. Bartonella henselae is well recognized as the etiologic agent in cat scratch disease. Ocular complications of the disease occur in up to 10% of patients and include neuroretinitis. Ocular bartonelosis is usually self-limited with complete or near-complete recovery of vision in otherwise healthy patients. A case of a boy with neuroretinitis caused by B. henselae is reported.Keywords: Optic nerve diseases; Cat-scratch disease; Macula lutea; Macular edema; Papilledema; Retinitis; Case reports RESUMO Neuropatia óptica associada à doença da arranhadura do gato é relativamente infrequente, está associada com formação de estrela macular e caracterizase por perda visual súbita sem dor na maioria das vezes unilateral. Bartonella henselae é o agente etiológico da enfermidade. As complicações oculares da doença ocorrem em mais de 10% dos casos, entre elas está a neurorretinite. Bartonelose ocular é uma doença autolimitada com completa ou quase completa recuperação da acuidade visual em pacientes imunocompetentes. Relatamos o caso de um adolescente com neuroretinite causada por B. henselae.

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“…These alterations are denominated neuroretinitis and CSD is its most common cause. Very often patients also complain of visual loss, generally reversible with antibiotic treatment [19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Cat scratch disease complicated with aseptic meningitis and neuroretinitis

Pinto¹,

Curi²,

Pinto³

et al. 2008

Braz J Infect Dis

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Cat scratch disease (CSD) is a self limited condition characterized by fever, lymph node enlargement and less often eye involvement. Central nervous system involvement by Bartonella henselae infection is possibly an important cause of morbidity; its role as an agent of aseptic meningitis is unknown. We report a case of a 40 years-old man with CSD accompanied by aseptic meningitis and neuroretinitis. Serum indirect immmunofluorescence (IFI) assays for B. henselae were positive and the cerebrospinal fluid (CSF) analysis showed mononuclear pleocytosis and increased level of protein. Serological tests for other etiologies were negative. The patient responded well to antibiotic therapy with oral doxycicline plus rifampin and in the 12 th day of hospitalization evolved to total regression of the headache and partial regression of the visual loss. Clinicians should consider CSD as a differential diagnosis when assessing previously healthy patients with aseptic meningitis associated with regional lymphadenopathy and epidemiological history of feline contact.

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Bartonella henselae neuroretinitis in cat scratch disease

Cited by 229 publications

References 31 publications

Macular findings on optical coherence tomography in cat-scratch disease neuroretinitis

Macular findings on optical coherence tomography in cat-scratch disease neuroretinitis

Optic neuropathy secondary to cat scratch disease: case report

Cat scratch disease complicated with aseptic meningitis and neuroretinitis

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