Cat Scratch Disease: Not a Benign Condition. (3rd October 2018)

• Record Type: Journal Article
• Authors: Barros, Sandra; de Andrade, Gabriel Costa; Cavalcanti, Cecilia; Nascimento, Heloisa
• Is Part Of: Ocular immunology and inflammation. Volume 26:Number (2018)
• Page Start: 1115
• Page End: 1122
• Publication Date: 2018-10-03
• Subjects: Cat-scratch disease -- Bartonella henselae -- uveitis; Eye -- Diseases -- Immunological aspects -- Periodicals; Eye -- Inflammation -- Periodicals; 617.7
• DOI: 10.1080/09273948.2017.1327077
• Languages: English
• ISSNs: 0927-3948

Abstract

ABSTRACT: Purpose : Describe a case series of ocular Cat-scratch-disease (CSD) with vision-threatening findings and poor outcomes, indicating severity of disease. Methods : Retrospective case series from the Uveitis Department of São Paulo Federal University from 2011 to 2015. Results : In this period, six eyes of four patients had confirmed diagnosis of CSD. Two were male and two female. Mean age was 24.8 years old [7–45]. Two had bilateral disease. Visual acuity at presentation ranged from no light perception to 20/25. Three patients were treated with doxycycline and one with clarithromycin and prednisone. Visual outcome after treatment ranged from counting fingers to 20/20: 5/6 eyes had final visual acuity of less than 20/40 and 3/6 had final visual acuity equal or less than 20/400. Conclusion : Although usually described as a benign disease with spontaneous resolution, CSD can present with atypical manifestations such as vascular angiomatous lesions, serous retinal detachment, and vascular occlusion syndromes, carrying a severe course and guarded prognosis.