Eye and cat scratch disease: A case series
Cat scratch disease is a pleiomorphic condition, sometimes with isolated ophthalmic involvement. We report the clinical observations of seven cases with ophthalmologic manifestations of cat scratch disease. There were seven patients, with a median age of 52 years, of whom five were women and three h...
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| Veröffentlicht in: | Journal francais d'ophtalmologie 2016-02, Vol.39 (2), p.164-170 |
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| container_title | Journal francais d'ophtalmologie |
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| creator | Deschasse, C Bielefeld, P Muselier, A Bour, J B Besancenot, J F Garcher, C C Bron, A M |
| description | Cat scratch disease is a pleiomorphic condition, sometimes with isolated ophthalmic involvement. We report the clinical observations of seven cases with ophthalmologic manifestations of cat scratch disease.
There were seven patients, with a median age of 52 years, of whom five were women and three had unilateral involvement. Six exhibited Leber's stellate neuroretinitis, an incomplete syndrome in two cases, and one associated with chorioretinal foci. One patient had isolated retinal infiltrates. The diagnosis of cat scratch disease was confirmed by Bartonella henselae serology, positive in all cases. All patients received treatment with doxycycline. Ocular complications (with optic atrophy and macular retinal pigment epithelial changes) were noted in five cases.
Ocular bartonellosis is an atypical clinical form. It requires a directed ancillary work-up with serology or PCR, which has the peculiarity of being highly specific if not very sensitive. Treatment is above all preventive. Antibiotics may be initiated.
Cat scratch disease must be excluded in the work-up of posterior uveitis. |
| doi_str_mv | 10.1016/j.jfo.2015.06.010 |
| format | Article |
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There were seven patients, with a median age of 52 years, of whom five were women and three had unilateral involvement. Six exhibited Leber's stellate neuroretinitis, an incomplete syndrome in two cases, and one associated with chorioretinal foci. One patient had isolated retinal infiltrates. The diagnosis of cat scratch disease was confirmed by Bartonella henselae serology, positive in all cases. All patients received treatment with doxycycline. Ocular complications (with optic atrophy and macular retinal pigment epithelial changes) were noted in five cases.
Ocular bartonellosis is an atypical clinical form. It requires a directed ancillary work-up with serology or PCR, which has the peculiarity of being highly specific if not very sensitive. Treatment is above all preventive. Antibiotics may be initiated.
Cat scratch disease must be excluded in the work-up of posterior uveitis.</description><identifier>ISSN: 0181-5512</identifier><identifier>EISSN: 1773-0597</identifier><identifier>DOI: 10.1016/j.jfo.2015.06.010</identifier><identifier>PMID: 26868534</identifier><language>fre</language><publisher>France: Elsevier Masson</publisher><subject>Adult ; Aged ; Animal biology ; Animals ; Bartonella henselae - isolation & purification ; Cat-Scratch Disease - complications ; Cat-Scratch Disease - diagnosis ; Cats ; Cohort Studies ; Eye Infections, Bacterial - diagnosis ; Eye Infections, Bacterial - microbiology ; Female ; Humans ; Life Sciences ; Male ; Middle Aged ; Papilledema - diagnosis ; Papilledema - microbiology ; Papilledema - pathology ; Retinitis - diagnosis ; Retinitis - microbiology</subject><ispartof>Journal francais d'ophtalmologie, 2016-02, Vol.39 (2), p.164-170</ispartof><rights>Copyright © 2016 Elsevier Masson SAS. All rights reserved.</rights><rights>Attribution - ShareAlike</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0002-3587-4598</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,781,785,886,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26868534$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://u-bourgogne.hal.science/hal-01395219$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Deschasse, C</creatorcontrib><creatorcontrib>Bielefeld, P</creatorcontrib><creatorcontrib>Muselier, A</creatorcontrib><creatorcontrib>Bour, J B</creatorcontrib><creatorcontrib>Besancenot, J F</creatorcontrib><creatorcontrib>Garcher, C C</creatorcontrib><creatorcontrib>Bron, A M</creatorcontrib><title>Eye and cat scratch disease: A case series</title><title>Journal francais d'ophtalmologie</title><addtitle>J Fr Ophtalmol</addtitle><description>Cat scratch disease is a pleiomorphic condition, sometimes with isolated ophthalmic involvement. We report the clinical observations of seven cases with ophthalmologic manifestations of cat scratch disease.
There were seven patients, with a median age of 52 years, of whom five were women and three had unilateral involvement. Six exhibited Leber's stellate neuroretinitis, an incomplete syndrome in two cases, and one associated with chorioretinal foci. One patient had isolated retinal infiltrates. The diagnosis of cat scratch disease was confirmed by Bartonella henselae serology, positive in all cases. All patients received treatment with doxycycline. Ocular complications (with optic atrophy and macular retinal pigment epithelial changes) were noted in five cases.
Ocular bartonellosis is an atypical clinical form. It requires a directed ancillary work-up with serology or PCR, which has the peculiarity of being highly specific if not very sensitive. Treatment is above all preventive. Antibiotics may be initiated.
Cat scratch disease must be excluded in the work-up of posterior uveitis.</description><subject>Adult</subject><subject>Aged</subject><subject>Animal biology</subject><subject>Animals</subject><subject>Bartonella henselae - isolation & purification</subject><subject>Cat-Scratch Disease - complications</subject><subject>Cat-Scratch Disease - diagnosis</subject><subject>Cats</subject><subject>Cohort Studies</subject><subject>Eye Infections, Bacterial - diagnosis</subject><subject>Eye Infections, Bacterial - microbiology</subject><subject>Female</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Papilledema - diagnosis</subject><subject>Papilledema - microbiology</subject><subject>Papilledema - pathology</subject><subject>Retinitis - diagnosis</subject><subject>Retinitis - microbiology</subject><issn>0181-5512</issn><issn>1773-0597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1Lw0AURQdRbKn9AW4kSxUS35vpfLkLpVqh4EbXYWbyQlPSpmZSof_eSKurB4fD5d7H2C1ChoDqaZNtqjbjgDIDlQHCBRuj1iIFafUlGwMaTKVEPmLTGGsPaBXXA7hmI66MMlLMxuxxcaTE7cokuD6JoXN9WCdlHclFek7yAUdKInU1xRt2Vbkm0vR8J-zzZfExX6ar99e3eb5K13wm-1QpoWUIaEERF95yb6UKAJobHqQuq2CCK20FHoznotJeO-1oqG6kM16ICXs45a5dU-y7euu6Y9G6uljmq-KXAQorOdpvHNz7k7vv2q8Dxb7Y1jFQ07gdtYdYoB52KpghH9S7s3rwWyr_k_9-IX4AgXdeiQ</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>Deschasse, C</creator><creator>Bielefeld, P</creator><creator>Muselier, A</creator><creator>Bour, J B</creator><creator>Besancenot, J F</creator><creator>Garcher, C C</creator><creator>Bron, A M</creator><general>Elsevier Masson</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-3587-4598</orcidid></search><sort><creationdate>20160201</creationdate><title>Eye and cat scratch disease: A case series</title><author>Deschasse, C ; Bielefeld, P ; Muselier, A ; Bour, J B ; Besancenot, J F ; Garcher, C C ; Bron, A M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h245t-66375cc1906e23b92b956c007282c57dfc8cad9f0b08b23f7b7a7ae17785a8b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Animal biology</topic><topic>Animals</topic><topic>Bartonella henselae - isolation & purification</topic><topic>Cat-Scratch Disease - complications</topic><topic>Cat-Scratch Disease - diagnosis</topic><topic>Cats</topic><topic>Cohort Studies</topic><topic>Eye Infections, Bacterial - diagnosis</topic><topic>Eye Infections, Bacterial - microbiology</topic><topic>Female</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Papilledema - diagnosis</topic><topic>Papilledema - microbiology</topic><topic>Papilledema - pathology</topic><topic>Retinitis - diagnosis</topic><topic>Retinitis - microbiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Deschasse, C</creatorcontrib><creatorcontrib>Bielefeld, P</creatorcontrib><creatorcontrib>Muselier, A</creatorcontrib><creatorcontrib>Bour, J B</creatorcontrib><creatorcontrib>Besancenot, J F</creatorcontrib><creatorcontrib>Garcher, C C</creatorcontrib><creatorcontrib>Bron, A M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Journal francais d'ophtalmologie</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Deschasse, C</au><au>Bielefeld, P</au><au>Muselier, A</au><au>Bour, J B</au><au>Besancenot, J F</au><au>Garcher, C C</au><au>Bron, A M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Eye and cat scratch disease: A case series</atitle><jtitle>Journal francais d'ophtalmologie</jtitle><addtitle>J Fr Ophtalmol</addtitle><date>2016-02-01</date><risdate>2016</risdate><volume>39</volume><issue>2</issue><spage>164</spage><epage>170</epage><pages>164-170</pages><issn>0181-5512</issn><eissn>1773-0597</eissn><abstract>Cat scratch disease is a pleiomorphic condition, sometimes with isolated ophthalmic involvement. We report the clinical observations of seven cases with ophthalmologic manifestations of cat scratch disease.
There were seven patients, with a median age of 52 years, of whom five were women and three had unilateral involvement. Six exhibited Leber's stellate neuroretinitis, an incomplete syndrome in two cases, and one associated with chorioretinal foci. One patient had isolated retinal infiltrates. The diagnosis of cat scratch disease was confirmed by Bartonella henselae serology, positive in all cases. All patients received treatment with doxycycline. Ocular complications (with optic atrophy and macular retinal pigment epithelial changes) were noted in five cases.
Ocular bartonellosis is an atypical clinical form. It requires a directed ancillary work-up with serology or PCR, which has the peculiarity of being highly specific if not very sensitive. Treatment is above all preventive. Antibiotics may be initiated.
Cat scratch disease must be excluded in the work-up of posterior uveitis.</abstract><cop>France</cop><pub>Elsevier Masson</pub><pmid>26868534</pmid><doi>10.1016/j.jfo.2015.06.010</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3587-4598</orcidid></addata></record> |
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| source | MEDLINE; Access via ScienceDirect (Elsevier); Alma/SFX Local Collection |
| subjects | Adult Aged Animal biology Animals Bartonella henselae - isolation & purification Cat-Scratch Disease - complications Cat-Scratch Disease - diagnosis Cats Cohort Studies Eye Infections, Bacterial - diagnosis Eye Infections, Bacterial - microbiology Female Humans Life Sciences Male Middle Aged Papilledema - diagnosis Papilledema - microbiology Papilledema - pathology Retinitis - diagnosis Retinitis - microbiology |
| title | Eye and cat scratch disease: A case series |
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