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Mass lesions of the posterior segment associated with Bartonella henselae
  1. A Kawasaki1,
  2. D L Wilson2
  1. 1Department of Neuro-ophthalmology, University Eye Clinic of Lausanne, Hopital Ophtalmique, Jules Gonin, Lausanne, Switzerland
  2. 2Departnment of Ophthalmology, Indiana University Medical Center and Midwest Eye Institute, Indiana University and Clarian Hospitals of Indiana, Indianapolis, IN, USA
  1. Correspondence to: Aki Kawasaki, MD, Hopital Ophtalmique Jules Gonin, Department of Neuro-ophthalmology, Ave de France 15, CH 1004 Lausanne, Switzerland; aki.kawasaki{at}ophtal.vd.ch

https://doi.org/10.1136/bjo.87.2.248

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    Bartonella (previously Rochalimea) henselae is the infectious agent causing cat scratch disease, a self limited regional lymphadenopathy associated with flu-like symptoms.1 In approximately 10% of cases, extranodal dissemination of the organism results in a variety of intraocular inflammatory lesions.1,2 We report a patient with acute Bartonella henselae infection in whom the only physical manifestation was multiple, mass-like lesions in the eye which resembled ocular metastases.

    Case report

    A 12 year old boy developed daily headaches and blurred vision. Four weeks later, he noted a central grey spot in his left eye. Visual acuity was 20/20 in his right eye and 20/400 left eye. Goldmann perimetry of the left eye revealed a dense central scotoma with steep margins nasally and moderate constriction of the temporal periphery. An afferent pupillary defect was present on …

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