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BMJ Case Reports 2009; doi:10.1136/bcr.09.2008.0904
  • Unusual presentation of more common disease/injury

Localised retinal vasculitis in cat scratch disease

  1. David Jonathan Jacobs,
  2. Michele L Scott,
  3. M Madison Slusher
  1. Wake Forest Eye Center, Medical Center Blvd, Winston-Salem, North Carolina 27157, USA
  1. David Jacobs, jacobs.david{at}gmail.com
  • Published 17 March 2009

Summary

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.

Footnotes

  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication.

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