Unusual presentation of more common disease/injury
Localised retinal vasculitis in cat scratch disease
Wake Forest Eye Center, Medical Center Blvd, Winston-Salem, North Carolina 27157, USA
Correspondence to:
David Jacobs, jacobs.david{at}gmail.com
We report an atypical presentation of ocular cat scratch disease (CSD) in an 8-year-old Caucasian male who presented with localised retinal arterial vasculitis and associated retinal oedema. His history of headaches, frequent contact with a kitten and a high Bartonella henslelae titre confirmed the diagnosis of CSD. Over an 18-month follow-up period, his best corrected visual acuity in the affected eye improved from 20/30–2 to 20/25+3 without treatment; however, the affected retinal artery remained sheathed.
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