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Cat Scratch - Bartonella henselae IgG and IgM Positive - Retinitis 27 year old female 6 days ago she noticed she had a very bad headache and she was home trying to fix her makeup and she had the left eye closed and could not see out of the right eye. Since then she has pain behind the right eye. She has poor circulation and her hands sometimes fall asleep. In February she had a fever but did not see a doctor. (2 months ago) She had cold sweats throughout the night which lasted for just a few days. She started dating someone who has a cat for the past few months (they started seeing each other in January). She usually avoids cats because she is allergic. The cat had fleas.I have her tests which were done in the ER on two visits. Her MRI scan was negative (MS was a concern). Also, her blood work showed a slightly elevated white count with a neutropenia which was mild. The rest of her CMP and blood count was normal. Her urine catch was abnormal but had a normal culture. It had multiple epithelial cells. There were ketones and red cells in the urine. I'll have this rechecked and make sure she follows-up on the UA. VA OD: scCF 4ft PHNI NscUnable VA OS: sc20/25 NscJ1+ The right eye has disc edema and the left eye has retinitis - She was treated with Doxycycline 100 mg BID and vision returned to normal in a few months
Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive568 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive586 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive599 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive586 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)
Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive793 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive642 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive649 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive506 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)
Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive467 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive503 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive542 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive505 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)
Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive435 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive501 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive451 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive525 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)
Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive463 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive488 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive494 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive431 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)
Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive471 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive561 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive552 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive466 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)
Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive509 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive439 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive463 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive506 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)
Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive530 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive513 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive571 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive508 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)
Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive449 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)	Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive507 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16 (0 votes)
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27 year old female 6 days ago she noticed she had a very bad headache and she was home trying to fix her makeup and she had the left eye closed and could not see out of the right eye. Since then she has pain behind the right eye. She has poor circulation and her hands sometimes fall asleep. In February she had a fever but did not see a doctor. (2 months ago) She had cold sweats throughout the night which lasted for just a few days. She started dating someone who has a cat for the past few months (they started seeing each other in January). She usually avoids cats because she is allergic. The cat had fleas.I have her tests which were done in the ER on two visits. Her MRI scan was negative (MS was a concern). Also, her blood work showed a slightly elevated white count with a neutropenia which was mild. The rest of her CMP and blood count was normal. Her urine catch was abnormal but had a normal culture. It had multiple epithelial cells. There were ketones and red cells in the urine. I'll have this rechecked and make sure she follows-up on the UA. VA OD: scCF 4ft PHNI NscUnable VA OS: sc20/25 NscJ1+ The right eye has disc edema and the left eye has retinitis - She was treated with Doxycycline 100 mg BID and vision returned to normal in a few months