title: A case of cat-scratch disease with unusual ophthalmic manifestations.
abstract: We report a case of cat-scratch disease with unusual posterior segment manifestations. A 12-year-old healthy male presented with three weeks history of decreased visual acuity in the right eye. A significant history of cat exposure and elevated Bartonella titers were present. A large white-gray vascularized mass extending off the optic disk, an early stellate maculopathy, a plaque of choroiditis, an inferior serous retinal detachment involving the macula were present in the right eye. Sector papillitis and a focal area of chorioretinitis along the superotemporal arcade with associated retinal artery to vein anastomosis were present in the left eye. Bilateral optic nerve head involvement including peripapillary angiomatosis, retinal-retinal anastomosis and plaque choroiditis as ocular complications of cat-scratch disease have not been previously described to our knowledge and make this case noteworthy.
authors.affiliation: University of Virginia, Department of Ophthalmology, Charlottesville, Virginia, USA.
authors.forename: Nicola G
authors.initials: NG
authors.lastname: Ghazi
authors.forename: Waler A
authors.initials: WA
authors.lastname: Sams
mesh_terms: D018416:Bartonella henselae / Q000302:isolation & purification*; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000382:microbiology; D002648:Child; D002833:Choroiditis / Q000175:diagnosis* / Q000382:microbiology; D003937:Diagnosis, Differential; D015818:Eye Infections, Bacterial / Q000175:diagnosis* / Q000382:microbiology; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D012173:Retinitis / Q000175:diagnosis* / Q000382:microbiology