Optic neuropathy secondary to cat scratch disease: case report

Abstract

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.

A challenging differential diagnosis of optic neuropathy in ED: CSD

“…Systemic antibiotics seem to shorten the disease duration and also hasten visual recovery 11. Alternatives to azithromycin include rifampicin, ciprofloxacin, gentamicin and trimethoprim-sulfamethoxazole, in order of increased effectiveness 2.…”