title: A 31-year-old man with bilateral blurry vision and floaters.
abstract: We report a case of bilateral multifocal retinochoroiditis and bilateral optic disc edema in a patient with cat-scratch disease from Bartonella henselae. The patient initially had negative serologic testing. Repeat testing showed a markedly increased IgG and IgM convalescent titer and the development of a branch retinal artery and vein occlusion. In patients for whom there is a high clinical suspicion of cat-scratch disease, a convalescent titer should be obtained 2-3 weeks following a negative initial result.
authors.affiliation: Department of Ophthalmology, Stony Brook University.
authors.forename: Azin
authors.initials: A
authors.lastname: Abazari
authors.affiliation: Department of Ophthalmology, Stony Brook University.
authors.forename: Kevin
authors.initials: K
authors.lastname: Kaplowitz
authors.affiliation: Department of Ophthalmology, Stony Brook University.
authors.forename: Patrick
authors.initials: P
authors.lastname: Sibony
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D018416:Bartonella henselae / Q000276:immunology / Q000302:isolation & purification; D002372:Cat-Scratch Disease / Q000175:diagnosis*; D002825:Chorioretinitis / Q000382:microbiology; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000175:diagnosis* / Q000382:microbiology; D006801:Humans; D007074:Immunoglobulin G / Q000378:metabolism; D007075:Immunoglobulin M / Q000378:metabolism; D008297:Male; D010211:Papilledema / Q000382:microbiology*; D012293:Rifampin / Q000627:therapeutic use; D014786:Vision Disorders / Q000382:microbiology*; D014792:Visual Acuity; D014822:Vitreous Body
chemical_list: D000900:Anti-Bacterial Agents; D007074:Immunoglobulin G; D007075:Immunoglobulin M; D004318:Doxycycline; D012293:Rifampin