[Multifocal chorioretinitis, papillitis, and recurrent optic neuritis in cat-scratch disease].
To evaluate the causative factor for multifocal chorioretinitis, papillitis, and recurrent optic neuritis. A 41-year-old patient presenting multifocal choroiditis, papillitis, and recurrent optic neuritis was evaluated with funduscopy, angiography (FA), optical coherence tomography (OCT), visual evoked potentials (VEP), and numerous blood laboratory tests. FA and OCT showed multifocal pigment epithelial detachments. VEP showed typical changes for optic neuritis and papillitis. Indirect fluorescent antibody assay disclosed Bartonella henselae. Although cat-scratch disease frequently presents with optic neuritis or neuroretinitis, additional multifocal chorioretinal lesions associated with serous pigment epithelial detachments may occur. In case of recurrent episodes, a detailed laboratory work-up is mandatory to define the appropriate diagnosis and treatment.
Mennel
S
S
Department of Ophthalmology, Philipps-University Marburg, Marburg, Germany. stefan.mennel@lycos.com
Meyer
C H
CH
Schroeder
F M
FM
D000328:Adult; D002372:Cat-Scratch Disease / Q000175:diagnosis*; D002825:Chorioretinitis / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D006801:Humans; D009902:Optic Neuritis / Q000175:diagnosis* / Q000382:microbiology; D010211:Papilledema / Q000175:diagnosis* / Q000382:microbiology; D012008:Recurrence