To describe a patient with neuroretinitis with features of both cat-scratch
Lyme disease who had serologies positive for both Bartonella henselae and Borrelia burgdorferi.
Case report of a single individual undergoing diagnostic testing and treatment for neuroretinitis.
A 47-year-old woman developed acute painless loss of vision and was found to have neuroretinitis. Diagnostic workup yielded serologies positive for both B. henselae and B. burgdorferi. The patient was treated with oral antibiotics for coverage of both etiologies, and her condition improved.
Serologies positive for both B. henselae and B. burgdorferi can be obtained in the workup of neuroretinitis. Clinicians should be aware and use clinical judgment in guiding their diagnosis and treatment of neuroretinitis.