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  • Title: Bilateral Bartonella henselae neuroretinitis with stellate maculopathy in a 6-year-old boy.
    Author: Metz CH, Buer J, Bornfeld N, Lipski A.
    Journal: Infection; 2012 Apr; 40(2):191-4. PubMed ID: 21826435.
    Abstract:
    PURPOSE: Bartonella henselae, the cause of cat-scratch disease in humans, may lead to characteristic vision-threatening ocular findings, which importantly indicate diagnosis. METHODS: This is an observational case report of a 6-year-old boy who presented with bilateral stellate maculopathy and lymphadenopathy. RESULTS: After serologic verification of B. henselae infection, systemic azithromycin therapy initiated the full recovery of visual acuity and bilateral complete resolution of stellate exudates during the following months. CONCLUSION: Stellate maculopathy should always include the differential diagnosis of B. henselae infection. In this rare case of bilateral stellate maculopathy, we observed full recovery of function following systemic macrolide therapy.
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