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Unusual presentation of cat scratch disease in HIV+ patient
  1. A L L Curi,
  2. W R Campos,
  3. L Barbosa,
  4. M A Lana-Peixoto,
  5. F Oréfice
  1. Federal Fluminense University/Federal Universiry of Minas Gerais, Brazil
  1. Correspondence to: Dr Andre Luiz Land Curi, R Francisco Dutra, 163/701 Icaraí Niterói, RJ, 24220-150, Brazil; curiall{at}yahoo.com

https://doi.org/10.1136/bjo.87.3.371

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    Intraocular cat scratch disease may present with different clinical features including neuroretinitis, retinitis, retinal infiltrates, arterial and vein occlusions. Most of the cases show spontaneous recovery without therapy.1

    There are only few reports of intraocular cat scratch disease in HIV+ patients. We report an unusual case of cat scratch disease presenting as helioid unifocal choroiditis in an HIV+ patient that showed good response to systemic therapy.

    Case report

    A 30 year old homosexual HIV+ man was referred to the uveitis department complaining of blurred vision in the left eye. He was taking zidovudine, lamivudine, ritonavir, and saquinavir. His last CD4+ count was 128 cells ×106/l and viral load 1 300 000.

    His visual acuities were 6/6 in the right eye and counting fingers in the left. There was no …

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