https://pubmed.ncbi.nlm.nih.gov/32546517/
doi: 10.1136/practneurol-2020-002586.Online ahead of print.
Bartonella Neuroretinitis (Cat-Scratch Disease)
- PMID: 32546517
- DOI: 10.1136/practneurol-2020-002586
Abstract
We report a patient with cat-scratch disease presenting with meningitis and neuroretinitis. This condition, caused by Bartonella henselae, has a worldwide distribution and is among the most common infective causes of neuroretinitis. Bartonella neuroretinitis is a rare but under-recognised mimic of optic neuritis; it should be suspected in a patient with an infective prodrome whose fundus shows optic disc oedema and a macular star. A low-positive initial serological test for Bartonella henselae does not exclude cat-scratch disease if there is high clinical suspicion, and repeat testing is recommended to look for titre rise.
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**Comment**
A negative test does not exclude Bartonella either.
For more: https://madisonarealymesupportgroup.com/category/bartonella-treatment/
https://madisonarealymesupportgroup.com/2019/09/07/keep-an-eye-out-for-bartonella/
https://madisonarealymesupportgroup.com/2019/04/08/case-series-bartonella-ocular-manifestations/
https://madisonarealymesupportgroup.com/2018/09/06/ocular-manifestations-of-bartonellosis/