Intermediate uveitis and retinal vasculitis as manifestations of cat scratch disease

Am J Ophthalmol. 1996 Oct;122(4):582-4. doi: 10.1016/s0002-9394(14)72125-7.


Purpose: To study the ocular manifestations of systemic Rochalimaea infection.

Methods: We examined a healthy 21-year old woman who had floaters in both eyes. A bilateral mild vitreitis and multiple foci of retinal vasculitis were found; during the ensuing two weeks, exudates appeared over the inferior pars plana. The patient owned five kittens but had no history of cat bites or scratches. Serum levels of antibodies to Rochalimaea were elevated.

Result: The retinal vasculitis and vitreitis resolved after three weeks of therapy with ciprofloxacin hydrochloride without concomitant anti-inflammatory therapy.

Conclusion: Rochalimaea infection should be considered in the differential diagnosis of intermediate uveitis and retinal vasculitis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Animals
  • Anti-Infective Agents / therapeutic use
  • Antibodies, Bacterial / analysis
  • Bartonella Infections / diagnosis*
  • Bartonella Infections / drug therapy
  • Bartonella henselae / immunology
  • Bartonella quintana / immunology
  • Cat-Scratch Disease / diagnosis*
  • Cat-Scratch Disease / drug therapy
  • Cats
  • Ciprofloxacin / therapeutic use
  • Diagnosis, Differential
  • Exudates and Transudates
  • Eye Infections, Bacterial / diagnosis*
  • Eye Infections, Bacterial / drug therapy
  • Female
  • Humans
  • Retinal Vessels / drug effects
  • Retinal Vessels / pathology*
  • Uveitis, Intermediate / diagnosis*
  • Uveitis, Intermediate / drug therapy
  • Vasculitis / diagnosis*
  • Vasculitis / drug therapy


  • Anti-Infective Agents
  • Antibodies, Bacterial
  • Ciprofloxacin