Cat-scratch disease is caused by Bartonella henselae , a pleomorphic gram-negative rod formerly referred to as Rochalimaea henselae . Common ocular sequelae include Parinaud oculoglandular syndrome and neuroretinitis. 1 Acute multifocal retinitis with or without optic nerve edema may also occur, 2 occasionally causing a branch retinal artery occlusion 3 or serous detachment of the neurosensory retina. 4 We describe the use of a recently developed indirect fluorescent antibody test 5 to document systemic B henselae infection in 2 patients with an unusual inflammatory mass of the optic nerve head after a flulike illness and exposure to cats. Report of Cases. Case 1. A 7-year-old girl was seen with profound loss of vision in her left eye 2 months after an acute febrile illness. Her medical history was notable for multiple recent cat scratches. Best-corrected visual acuity was 20/20 OD and no light perception OS. An afferent pupillary defect was present in
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Emmett T. Cunningham (1997) studied this question.