A 13-Year-Old Girl With Unilateral Visual Changes.

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2023-01

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Abstract

Neuroretinitis is a condition typically characterized by unilateral optic neuropathy and is most commonly a sequelae of cat scratch disease (CSD) due to infection with Bartonella henselae. Ophthalmologic examination will reveal a swollen optic nerve and may eventually reveal a canonical macular star; optical coherence tomography (OCT) will reveal flattening of the fovea, a thickened neurosensory retina, and subretinal fluid accumulation. Although CSD rarely presents with isolated neuorretinitis, it should be considered in patients presenting with unilateral visual changes. The differential diagnosis for neuroretinitis includes optic neuritis, inflammatory optic neuropathies (sarcoid, para-infectious, autoimmune), compressive, toxic, and more. We describe a pediatric patient presenting with visual changes that were initially concerning for optic neuritis and the diagnostic workup that ultimately led to a diagnosis of CSD neuroretinitis.

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10.1177/23247096221150635

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Sykes, David AW, Suzanna L Joseph, Shannon P Williams and Samrat U Das (2023). A 13-Year-Old Girl With Unilateral Visual Changes. Journal of investigative medicine high impact case reports, 11. p. 23247096221150635. 10.1177/23247096221150635 Retrieved from https://hdl.handle.net/10161/26673.

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Das

Samrat Umasankar Das

Associate Professor of Pediatrics

My interests include pediatric hospital medicine, graduate and undergraduate medical education, inter professional education, simulation education and observational studies to improve clinical practice in the area of inpatient pediatrics.


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