Cat-Scratch Neuroretinitis

file Retina Image Bank

File number: 27533


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    Appears in
    Miscellaneous
    Condition/keywords
    ocular bartonellosis, neuroretinitis
    Photographer
    Felipe Pereira
    Imaging device
    Fundus camera
    Triton, Topcon
    Description
    40-year-old patient presented with sudden and painless visual acuity loss for 1 day. His initial visual acuity was hand motion. There was positive epidemiology for cat-scratch disease and other serologies tests were negative. Treatment was initiated with 200 mg/day of Doxycycline for 21 days plus oral prednisone 1mg/kg tapered in 4 weeks. The patient presented a favorable evolution with reduction of the peripapillary granuloma and improvement of visual acuity to 20/25.

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