Bartonella henselae infection presenting as a unilateral panuveitis simulating Vogt-Koyanagi-Harada syndrome.
OBJECTIVE
To report an unusual ocular manifestation of cat scratch disease.


METHODS
Observational case report.


METHODS
Review of the clinical, laboratory, photographic, and angiographic records of a patient with cat scratch disease.


RESULTS
A 54-year-old woman presented with counting fingers visual acuity in the right eye associated with optic disk edema, diffuse choroidal thickening, and panuveitis. Fluorescein angiography showed disk leakage and hyperfluorescent spots with late leakage suggestive of Vogt-Koyanagi-Harada disease. She was diagnosed with cat scratch disease by serum antibody titers and clinical course.


CONCLUSIONS
Ocular manifestations of cat scratch disease can include diffuse thickening of the choroid. Cat scratch disease may manifest with angiographic features suggestive of Vogt-Koyanagi-Harada disease.
Khurana
Rahul N
RN
Doheny Eye Institute, University of Southern California Keck School of Medicine, Los Angeles, California, USA.
Albini
Thomas
T
Green
Ronald L
RL
Rao
Narsing A
NA
Lim
Jennifer I
JI
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000097:blood; D018416:Bartonella henselae / Q000276:immunology / Q000302:isolation & purification*; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D008875:Middle Aged; D015864:Panuveitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D014607:Uveomeningoencephalitic Syndrome / Q000175:diagnosis*; D014792:Visual Acuity
D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial; D004318:Doxycycline