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CASE REPORT
Year : 2022  |  Volume : 12  |  Issue : 3  |  Page : 349-353

Presumed diffuse unilateral subacute neuroretinitis and cat-scratch disease: Dual infection in a single patient


1 Department of Ophthalmology and Visual Sciences, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan; Department of Ophthalmology, Hospital Putrajaya, Putrajaya, Malaysia
2 Department of Ophthalmology and Visual Sciences, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
3 Department of Ophthalmology, Hospital Putrajaya, Putrajaya, Malaysia
4 Department of Ophthalmology, Hospital Kuala Lumpur, Jalan Pahang, Kuala Lumpur, Malaysia

Correspondence Address:
Dr. Ahmad Tarmidzi Nor-Azita
Department of Ophthalmology, Hospital Kuala Lumpur, Jalan Pahang, Kuala Lumpur 50586
Malaysia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjo.tjo_92_20

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A healthy 35-year-old Malay woman presented with left eye pain for 1 week, and ocular examination showed evidence of panuveitis. She had granulomatous type of anterior uveitis with secondary high intraocular pressure (IOP). Fundus showed optic disc swelling, mild vitritis, and multiple subretinal lesions, which later formed a migratory track. A diagnosis of presumed diffuse unilateral subacute neuroretinitis was made. At the same time, the serology test for Bartonella henselae was positive. The patient was treated with antiglaucoma medicine and topical steroids. An antihelminthic was initially used, and later, an antibiotic for cat-scratch disease was added. In addition, focal laser photocoagulation was performed. After 3 months, her visual acuity improved together with a reduction in inflammation and well-controlled IOP.


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