[Bilateral panuveitis with serous retinal detachment].
METHODS
A 45-year-old patient with cat scratch disease presented with bilateral panuveitis as well as bilateral serous detachment of the retina. The patient had suffered from influenza with swollen lymph nodes 2 weeks previously.


METHODS
The diagnosis could be made serologically: IgG and IgM antibodies against Bartonella henselae were highly positive in the immunofluorescence test and the values for inflammation were also strongly increased.


METHODS
A macular star developed during the course, more in the left eye than in the right eye. The patient was treated with a sulfonamide (Bactrim forte) and prednisolonacetate (Urbason), which was changed to doxyzycline (Doxybene) after an allergic reaction developed. Clinical findings were reduced significantly and visual acuity improved.


CONCLUSIONS
Bartonella henselae should be excluded when panuveitis occurs with serous retinal detachment. A uveitis anterior could precede this occurrence.
Ramharter
A
A
Universitäts-Augenklinik, Innsbruck, Osterreich. Anke.Ramharter@i-med.ac.at
Kremser
B
B
D000890:Anti-Infective Agents / Q000008:administration & dosage; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D005260:Female; D006801:Humans; D008775:Methylprednisolone / Q000008:administration & dosage*; D008875:Middle Aged; D015864:Panuveitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D012163:Retinal Detachment / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D012704:Serous Membrane / Q000293:injuries* / Q000473:pathology*; D016896:Treatment Outcome; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000008:administration & dosage*
D000890:Anti-Infective Agents; D000893:Anti-Inflammatory Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D008775:Methylprednisolone