• Am J Emerg Med · May 2013

    Case Reports

    Central scotoma without prodromal illness caused by Bartonella henselae neuroretinitis.

    • Jessica Ann Best and Brian Price.
    • University of Texas Southwestern-Austin, Austin, TX, USA; University Medical Center Brackenridge, Austin, TX, USA. Jessica.a.best@gmail.com
    • Am J Emerg Med. 2013 May 1; 31 (5): 887.e1-2.

    AbstractThis case report describes Bartonella henselae neuroretinitis in a 26-year-old woman who presented to the emergency department with unilateral central scotoma and no prodromal symptoms, a unique presentation of this disease. B henselae, a gram-negative bacteria, is the cause of cat scratch disease. Cat scratch disease (CSD) is a self-limiting illness, which typically presents with regional lymphadenopathy, fever, and small skin lesions in associationwith a cat scratch or bite. The mostcommon ocular manifestations of cat scratch disease are Parinaud oculoglandular syndrome and neuroretinitis. All prior reported cases of CSD neuroretinitis presented with prodromal symptoms, not vision loss alone.

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