Mass lesions of the posterior segment associated with Bartonella henselae
- 1Department of Neuro-ophthalmology, University Eye Clinic of Lausanne, Hopital Ophtalmique, Jules Gonin, Lausanne, Switzerland
- 2Departnment of Ophthalmology, Indiana University Medical Center and Midwest Eye Institute, Indiana University and Clarian Hospitals of Indiana, Indianapolis, IN, USA
- 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
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 …
