Bartonella neuroretinitis : An atypical manifestation of cat scratch disease

Lapp N, et al. Ophthalmologe. 2018.


Cat scratch disease (CSD) typically manifests as a febrile lymphadenopathy and is caused by a Bartonella henselae infection after contact with cats. This article describes the case of an atypical presentation of CSD in a 52-year-old patient with acute unilateral loss of vision and headache without fever or lymphadenopathy. Funduscopic examination showed an optic disc swelling and macular star exsudates, pathognomonic for infectious neuroretinitis.Bartonella henselae infection was confirmed serologically. Systemic antibiotic combination therapy was initiated with doxycycline and rifampicin for 6 weeks resulting in good morphological and functional results. A Bartonella neuroretinitis should be considered in the differential diagnosis of patients with loss of vision and papilledema, even in the absence of fever or lymphadenopathy. Immediate serological testing and initiation of antibiotics are important for the outcome.



Again, researchers need to seriously QUIT using the words “atypical manifestation” regarding anything Lyme/MSIDS and that includes Bartonella.  There is so much unknown about all of this that it is premature to announce that anything is “atypical” at this point.

After typing in Opthalmic Manifestations & Bartonella in the search bar:  and another:


And, cats aren’t the only perp here.  Quit saying they are.  Many are claiming ticks transmit as well as numerous other arthropods.  According to some, Bartonella may very well be the most commonly carried and transmitted pathogen.

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