Transcript Folie 1 - Springer Static Content Server

Neuroretinitis secondary to
Bartonella henselae
André Luiz Land Curi
National Institute of Infectious Diseases
INI/IPEC- FIOCRUZ
BRAZIL
Ocular History
 18
year-old black male , from
Rio de Janeiro , Brazil
 Blurred vision OS since 1 week
 History of being scratched by
domestic cat several times
July 2013 - First Presentation
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VA : 20/20 OD / Counting fingers 2 M OS
no cells in the anterior chamber
IOP : 15 /16 mmHg
Fundoscopy: disc edema, macular edema,
retinal infiltrate in the inferior arcade
Diagnosis and Treatment
The diagnosis of neuroretinitis was made
 Cat-scratch was considered
 Patient was started on Doxyciclin 2x100mg
 Bartonella henselae serology was ordered
 Bartonella henselae IgG + 1/1024
 Treatment for 1 month
 Last VA (8/2013) 20/40
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Conclusion
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Cat-scratch disease may presente with very poor
visual acuity
Cat-scratch disease shows good response to
therapy with antibiotics
History is important in the diagnosis
Retinal infiltrates are very common in Cat-scratch
disease and may help in the diagnosis