Atypical cat scratch disease with vitritis, serous macular detachment, neuroretinitis, and retrobulbar optic neuritis.

摘要

Although cat scratch disease (CSD) is a systemic infectious disease, ocular involvement is often recognizable by its characteristic pattern of stellate neuroretinitis. Less recognizable are other patterns of focal ocular involvement that contribute to visual loss. Here we present an atypical case of Bartonella, complicated by misleading serology, in which four such patterns of focal pathology in the vitreous, macula, neuroretinal rim and retrobulbar optic nerve induced severe visual loss.