Skip to main content

Advertisement

SpringerLink
Log in

Bilateral Bartonella henselae neuroretinitis with stellate maculopathy in a 6-year-old boy

  • Case Report
  • Published:
Infection Aims and scope Submit manuscript

Abstract

Purpose

Bartonella henselae, the cause of cat-scratch disease in humans, may lead to characteristic vision-threatening ocular findings, which importantly indicate diagnosis.

Methods

This is an observational case report of a 6-year-old boy who presented with bilateral stellate maculopathy and lymphadenopathy.

Results

After serologic verification of B. henselae infection, systemic azithromycin therapy initiated the full recovery of visual acuity and bilateral complete resolution of stellate exudates during the following months.

Conclusion

Stellate maculopathy should always include the differential diagnosis of B. henselae infection. In this rare case of bilateral stellate maculopathy, we observed full recovery of function following systemic macrolide therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  1. Florin TA, Zaoutis TE, Zaoutis LB. Beyond cat scratch disease: widening spectrum of Bartonella henselae infection. Pediatrics. 2008;121:e1413–25. doi:10.1542/peds.2007-1897.

    Article  PubMed  Google Scholar 

  2. Boulouis HJ, Chang CC, Henn JB, Kasten RW, Chomel BB. Factors associated with the rapid emergence of zoonotic Bartonella infections. Vet Res. 2005;36:383–410. doi:10.1051/vetres:2005009.

    Article  PubMed  Google Scholar 

  3. Durá-Travé T, Yoldi-Petri ME, Gallinas-Victoriano F, Lavilla-Oiz A, Bove-Guri M. Neuroretinitis caused by Bartonella henselae (cat-scratch disease) in a 13-year-old girl. Int J Pediatr. 2010;2010:763105. doi:10.1155/2010/763105.

    PubMed  Google Scholar 

  4. Cunningham ET, Koehler JE. Ocular bartonellosis. Am J Ophthalmol. 2000;130:340–9. doi:S0002939400005730.

    Article  PubMed  CAS  Google Scholar 

  5. Pandak N, Daković-Rode O, Cabraja I, Kristof Z, Kotarac S. Prevalence of Bartonella henselae antibodies in children and blood donors in Croatia. Infection. 2009;37:166–7. doi:10.1007/s15010-008-8113-0.

    Article  PubMed  CAS  Google Scholar 

  6. Sweeney VP, Drance SM. Optic neuritis and compressive neuropathy associated with cat scratch disease. Can Med Assoc J. 1970;103:1380–1.

    PubMed  CAS  Google Scholar 

  7. Zangwill KM, Hamilton DH, Perkins BA, Regnery RL, Plikaytis BD, Hadler JL, Cartter ML, Wenger JD. Cat scratch disease in Connecticut. Epidemiology, risk factors, and evaluation of a new diagnostic test. N Engl J Med. 1993;329:8–13. doi:10.1056/NEJM199307013290102.

    Article  PubMed  CAS  Google Scholar 

  8. Ormerod LD, Dailey JP. Ocular manifestations of cat-scratch disease. Curr Opin Ophthalmol. 1999;10:209–16.

    Article  PubMed  CAS  Google Scholar 

  9. Wade NK, Levi L, Jones MR, Bhisitkul R, Fine L, Cunningham ET Jr. Optic disk edema associated with peripapillary serous retinal detachment: an early sign of systemic Bartonella henselae infection. Am J Ophthalmol. 2000;130:327–34. doi:S0002939400005997.

    Article  PubMed  CAS  Google Scholar 

  10. Reed JB, Scales DK, Wong MT, Lattuada CP Jr, Dolan MJ, Schwab IR. Bartonella henselae neuroretinitis in cat scratch disease. Diagnosis, management, and sequelae. Ophthalmology. 1998;105:459–66. doi:10.1016/S0161-6420(98)93028-7.

    Article  PubMed  CAS  Google Scholar 

  11. Suhler EB, Lauer AK, Rosenbaum JT. Prevalence of serologic evidence of cat scratch disease in patients with neuroretinitis. Ophthalmology. 2000;107:871–6. doi:10.1016/S0161-6420(00)00002-6.

    Article  PubMed  CAS  Google Scholar 

  12. Golnik KC, Marotto ME, Fanous MM, Heitter D, King LP, Halpern JI, Holley PH Jr. Ophthalmic manifestations of Rochalimaea species. Am J Ophthalmol. 1994;118:145–51.

    PubMed  CAS  Google Scholar 

  13. Wade NK, Po S, Wong IG, Cunningham ET Jr. Bilateral Bartonella-associated neuroretinitis. Retina. 1999;19:355–6.

    Article  PubMed  CAS  Google Scholar 

  14. Besson-Leaud L, Mancel E, Missotte I, Morlat C, Menager C. Sudden sight impairment revealing a cat-scratch disease: report of three cases. Arch Pediatr. 2004;11:1209–11. doi:10.1016/j.arcped.2004.06.025.

    Article  PubMed  CAS  Google Scholar 

  15. Hernandez-Da-Mota S, Escalante-Razo F. Bartonellosis causing bilateral Leber neuroretinitis: a case report. Eur J Ophthalmol. 2009;19:307–9.

    PubMed  Google Scholar 

  16. Ramharter A, Kremser B. Bilateral panuveitis with serous retinal detachment. Ophthalmologe. 2009;106:351–5. doi:10.1007/s00347-008-1807-y.

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Eye Clinic, Center for Ophthalmology, University of Duisburg-Essen, Hufelandstr. 55, 45122, Essen, Germany

    C. H. D. Metz, N. Bornfeld & A. Lipski

  2. Institute of Medical Microbiology, University of Duisburg-Essen, Essen, Germany

    J. Buer

Authors
  1. C. H. D. Metz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. Buer
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. N. Bornfeld
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. A. Lipski
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to C. H. D. Metz.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Metz, C.H.D., Buer, J., Bornfeld, N. et al. Bilateral Bartonella henselae neuroretinitis with stellate maculopathy in a 6-year-old boy. Infection 40, 191–194 (2012). https://doi.org/10.1007/s15010-011-0168-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s15010-011-0168-7

Keywords

Search

Navigation