Abstract

A 13-year-old boy presented with acute loss of vision inhis right eye of 2weeks' duration. He had a high feverand was ill for several days, then improved but suffered recurrent episodes of sweating and a high fever. Ophthalmoscopy of the righ eye showed optic disk edema, mild vitreous cells, and minimal exudates in the macula. Bartonella henselae titers were positive. A diagnosis of optic disk edema with a macular star secondary to cat-scratch disease was made. The patient was treated with doxycycline and made a dramatic improvement to visual acuity of 20/30 with a minimal residual relative central scotoma. The optic disk edema and macular star resolved, and the patient was left with mild optic atrophy in the right eye.

Original languageEnglish (US)
Pages (from-to)270-274
Number of pages5
JournalSurvey of Ophthalmology
Volume43
Issue number3
DOIs
StatePublished - 1998

Keywords

  • Bartonella henselae
  • Cat-scratch disease
  • Macular star
  • Optic disk edema

ASJC Scopus subject areas

  • Ophthalmology

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