Last additions - 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
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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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive453 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 20/16Jan 28, 2019
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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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive574 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive518 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive536 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive510 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive465 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive443 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive515 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive473 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive554 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive564 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive476 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive434 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 20/16Jan 28, 2019
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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 20/16Jan 28, 2019
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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 20/16Jan 28, 2019
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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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive528 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive453 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 20/16Jan 28, 2019
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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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive442 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 20/16Jan 28, 2019
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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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive548 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 20/16Jan 28, 2019
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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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive469 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive510 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive653 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive647 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive799 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive589 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive601 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 20/16Jan 28, 2019
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive593 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 20/16Jan 28, 2019
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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 20/16Jan 28, 2019
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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