Duke University Medical Center, Durham, NC, USA.
J Investig Med High Impact Case Rep. 2023 Jan-Dec;11:23247096221150635. doi: 10.1177/23247096221150635.
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 . 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.
神经视网膜炎是一种典型的单侧视神经病变，最常见于猫抓病（CSD）的后遗症，由感染 引起。眼科检查将显示视神经肿胀，最终可能出现典型的黄斑星状病变；光学相干断层扫描（OCT）将显示黄斑区变平，神经感觉层增厚，视网膜下积液积聚。尽管 CSD 很少出现孤立性神经视网膜炎，但对于出现单侧视力改变的患者应考虑该病。神经视网膜炎的鉴别诊断包括视神经炎、炎症性视神经病变（结节病、副感染性、自身免疫性）、压迫性、中毒性等。我们描述了一名儿科患者，其视力改变最初令人担忧为视神经炎，随后的诊断检查最终导致 CSD 神经视网膜炎的诊断。
