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Inflammatory Mass of the Optic Nerve Head Associated With Systemic Bartonella henselae Infection
Emmett T. Cunningham, Jr, MD, PhD, MPH;
H. Richard McDonald, MD;
Howard Schatz, MD;
Robert N. Johnson, MD;
Everett Ai, MD
San Francisco, Calif
M. Gilbert Grand, MD
St Louis, Mo
Arch Ophthalmol. 1997;115(12):1596-1597.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Cat-scratch disease is caused by Bartonella henselae, a pleomorphic gram-negative rod formerly referred to as Rochalimaea henselae. Common ocular sequelae include Parinaud oculoglandular syndrome and neuroretinitis.1 Acute multifocal retinitis with or without optic nerve edema may also occur,2 occasionally causing a branch retinal artery occlusion3 or serous detachment of the neurosensory retina.4 We describe the use of a recently developed indirect fluorescent antibody test5 to document systemic B henselae infection in 2 patients with an unusual inflammatory mass of the optic nerve head after a flulike illness and exposure to cats.
Report of Cases.
Case 1.
A 7-year-old girl was seen with profound loss of vision in her left eye 2 months after an acute febrile illness. Her medical history was notable for multiple recent cat scratches. Best-corrected visual acuity was 20/20 OD and no light perception OS. An afferent pupillary defect was present in
. . . [Full Text PDF of this Article]
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