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Acute Unilateral Vision Loss in a Female Adolescent Due to Ocular Bartonellosis

Nassif, Douglas S., MD

doi: 10.1097/PEC.0000000000001135
Illustrative Cases

Acute worsening of visual acuity with optic disc edema is commonly assumed to be due to idiopathic intracranial hypertension. Bartonella henselae is an unusual cause to abrupt vision loss that is associated with optic disc edema and exudative macular stars seen on examination. It is an important cause to be aware of because it responds very well to antibiotic treatment. We present a case of a female adolescent with unilateral vision loss cause by cat-scratch neuroretinitis.

From the Division of Emergency Medicine, Department of Pediatrics, Children’s Hospital of Michigan, Detroit, MI.

Disclosure: The author declares no conflict of interest.

Reprints: Douglas S. Nassif, MD, 3901 Beaubien St, Detroit, MI 48201 (e-mail:;

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