Cat scratch neuroretinitis: the role of acute and convalescent titers for diagnosis

Document Type

Article

Abstract

Cat scratch neuroretinitis (CSN) is a clinical diagnosis supported by serological testing. We present 2 cases of CSN in which initial acute titers were negative or equivocal for Bartonella henselae while convalescent titers were shown to be positive. We report these cases to emphasize that a single acute negative titer is insufficient to exclude the diagnosis of CSN and that convalescent titers should be obtained in patients for whom there is a high clinical suspicion of the disease.

Medical Subject Headings

Adult; Anti-Bacterial Agents (therapeutic use); Azithromycin (therapeutic use); Bartonella henselae (immunology); Cat-Scratch Disease (complications); Child; Female; Humans; Immunoglobulin G (blood); Magnetic Resonance Imaging; Male; Retinitis (diagnosis, etiology, microbiology)

Publication Date

9-1-2012

Publication Title

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society

E-ISSN

1536-5166

Volume

32

Issue

3

First Page

243

Last Page

5

PubMed ID

21941214

Digital Object Identifier (DOI)

10.1097/WNO.0b013e318233a0a6

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