1. Review Bartonella Henselae Neuroretinitis clinical cases
Glenda Espinosa Barberi
Hospital Universitario de Gran Canaria Doctor Negrín

2. Male , 26 years old with decreased visual acuity of the left eye
Introduction
Clinical case
Male , 26 years old with decreased visual acuity of the left eye
Background: pineal tumor, bilateral strabismus
VA: 1 RE, 0.1 LE
Biomicroscopy and ocular pressure are normal
Funduscopy and TCO:
SEX
AGE
EYE
INICIAL SYMPTHOMS
FIRST VA
SEROLOGY
(IgG)
TREATMENT
LAST VA
MALE 17
RIGHT
BLURRED VISION, HEADACHE
0.15
1/1280
DOXICICLIN 100 mg / 12 h PREDNISONE 60 mg per day 1 26
LEFT
LOW VA
0.1
1/256
CIPROFLOXACIN 500 mg 12 h
DACORTIN 30 mg per day
0.6 45
METAMORPHOPSIAS
0.8
CIPROFLOXACIN 500 mg / 12 h
PREDNISONE 60 mg per day

3. 1 month later….

4. 3 month later..

5. Conclusions
The cat scratch disease is the most common cause of neuroretinitis
A detail clinical history is important for the diagnosis (included travels, domestic animals, etc)
Can go unnoticed due to the absence of systemic symptoms
The roll of antibiotic and corticoide therapy is questionable