1. Neuroretinitis secondary to Bartonella henselae
André Luiz Land Curi
National Institute of Infectious Diseases
INI/IPEC- FIOCRUZ
BRAZIL

2. 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

3. July 2013 - First Presentation
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

5. 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

7. Conclusion
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