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Bull Soc Belge Ophtalmol · Jan 2002
Case ReportsCat scratch disease (CSD) in patients with stellate neuroretinitis: 3 cases.
- I De Schryver, A M Stevens, G Vereecke, and Ph Kestelyn.
- Department of Ophthalmology, University Hospital Ghent, Belgium.
- Bull Soc Belge Ophtalmol. 2002 Jan 1 (286): 41-6.
AbstractThis case series describes three patients with a similar clinical picture: unilateral abrupt visual loss, optic nerve edema, and a macular star exudate. In all cases we found significant antibody titers to Bartonella henselae, the causative agent of cat scratch disease. Cat scratch disease seems to be the most common cause of stellate neuroretinitis, formerly known as Leber's idiopathic stellate retinopathy. A review of the pertinent literature shows that serologic evidence of B. henselae is sufficient to confirm the diagnosis given the low incidence of significant titers in the general population. Cat scratch disease is usually a self limiting disorder in immunocompetent patients, but treatment with doxycycline is recommended.
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