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August 1996

Bilateral Optic Disc Edema and Multifocal Retinal Lesions Without Loss of Vision in Cat Scratch Disease

Author Affiliations

Houston, Tex

Arch Ophthalmol. 1996;114(8):1016-1017. doi:10.1001/archopht.1996.01100140224023

Cat scratch disease (CSD) is a self-limited infection that is thought to be due to Bartonella species (formerly Rochalimaea species).1 A painful, regional lymphadenopathy is usually the initial symptom of CSD; it occurs after a cat scratch or bite. The ophthalmologic findings of CSD may include follicular conjunctivitis, variable anterior chamber inflammation, vitreous cells, unilateral or bilateral optic disc edema, macular exudate, and focal or multifocal white retinal lesions.2-4 We report an unusual case in which a patient with CSD had bilateral optic disc edema and multifocal intraretinal lesions without loss of vision.

Report of a Case.  When first examined, a 21-year-old white woman had bilateral, transient visual obscurations. She was well until July 1995 when she was scratched once on the hand by her 2-month-old kitten. Two days later, a fever developed in the patient; she experienced malaise, fatigue, and transient "black spots" in both eyes, which

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