Abstract
Purpose
Bartonella henselae is the causal agent of cat scratch disease and one variation in its presentation is Leber neuroretinitis. The unilateral presence of exudation as a macular star and papilledema represent its most common presentation.
Methods
Observational case report. A 7-year-old girl presented a sudden decrease of visual acuity and bilateral macular exudation (macular star) as well as choroiditis.
Results
A complete recovery of visual acuity was seen after a 6-week follow-up. Erythromycin plus deflazacort treatment was given.
Conclusions
The present case represents an unusual variety of cat scratch disease. This represents a challenge in the differential diagnosis of diseases such as Lyme disease and tuberculosis among others.
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