title: [Eye and cat scratch disease: A case series].
abstract: BACKGROUND
  Cat scratch disease is a pleiomorphic condition, sometimes with isolated ophthalmic involvement. We report the clinical observations of seven cases with ophthalmologic manifestations of cat scratch disease.
  
  
  METHODS
  There were seven patients, with a median age of 52 years, of whom five were women and three had unilateral involvement. Six exhibited Leber's stellate neuroretinitis, an incomplete syndrome in two cases, and one associated with chorioretinal foci. One patient had isolated retinal infiltrates. The diagnosis of cat scratch disease was confirmed by Bartonella henselae serology, positive in all cases. All patients received treatment with doxycycline. Ocular complications (with optic atrophy and macular retinal pigment epithelial changes) were noted in five cases.
  
  
  CONCLUSIONS
  Ocular bartonellosis is an atypical clinical form. It requires a directed ancillary work-up with serology or PCR, which has the peculiarity of being highly specific if not very sensitive. Treatment is above all preventive. Antibiotics may be initiated.
  
  
  CONCLUSIONS
  Cat scratch disease must be excluded in the work-up of posterior uveitis.
authors: Service d'ophtalmologie, CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France.
authors: C
authors: C
authors: Deschasse
authors: Service de médecine interne, CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France.
authors: P
authors: P
authors: Bielefeld
authors: Service d'ophtalmologie, CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France.
authors: A
authors: A
authors: Muselier
authors: Service de virologie, CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France.
authors: J B
authors: JB
authors: Bour
authors: Service de médecine interne, CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France.
authors: J F
authors: JF
authors: Besancenot
authors: Service d'ophtalmologie, CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France; INRA, UMR1324, centre des sciences du goût et de l'alimentation, 21000 Dijon, France; CNRS, UMR6265, centre des sciences du goût et de l'alimentation, 21000 Dijon, France; Centre des sciences du goût et de l'alimentation, université de Bourgogne, 21000 Dijon, France.
authors: C C
authors: CC
authors: Garcher
authors: Service d'ophtalmologie, CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France; INRA, UMR1324, centre des sciences du goût et de l'alimentation, 21000 Dijon, France; CNRS, UMR6265, centre des sciences du goût et de l'alimentation, 21000 Dijon, France; Centre des sciences du goût et de l'alimentation, université de Bourgogne, 21000 Dijon, France. Electronic address: alain.bron@chu-dijon.fr.
authors: A M
authors: AM
authors: Bron
mesh_terms: D000328:Adult; D000368:Aged; D000818:Animals; D018416:Bartonella henselae / Q000302:isolation & purification; D002372:Cat-Scratch Disease / Q000150:complications / Q000175:diagnosis*; D002415:Cats; D015331:Cohort Studies; D015818:Eye Infections, Bacterial / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010211:Papilledema / Q000175:diagnosis / Q000382:microbiology / Q000473:pathology; D012173:Retinitis / Q000175:diagnosis* / Q000382:microbiology
keywords: Cat scratch disease; Maladie des griffes du chat; Posterior uveitis; Uvéite postérieure