Bartonella a.k.a. cat scratch disease: How to care for the cat - LymeDisease.org
by Kris Newby, Invisible International If a person is diagnosed with cat scratch disease, what should be done with the pet cat that transmitted the disease through a bite or scratch? A recent publication in the American Journal of Ophthalmology provides guidance on this conundrum, presenting five clinical scenarios with remediation recommendations. The article starts with a fascinating case study about a 10-year-old boy who was experiencing reduced vision in the right eye. An ophthalmic examination revealed trapped fluid around the optic nerve and retina, consistent with a diagnosis of neuroretinitis. Blood antibody testing supported a diagnosis of Bartonella henselae neuroretinitis, caused by a tiny bacterium that causes cat scratch disease. A patient history revealed that the family recently adopted three kittens that had scratched the boy and his younger sister, possibly infecting both. This left the ophthalmologist and the family with an uncomfortable question of what should be do