1. Cat Scratch Disease: Not a Benign Condition.
- Author
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Barros, Sandra, de Andrade, Gabriel Costa, Cavalcanti, Cecilia, and Nascimento, Heloisa
- Subjects
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ANTIBIOTICS , *DIAGNOSIS of bacterial diseases , *CLARITHROMYCIN , *PREDNISONE , *DOXYCYCLINE , *BACTERIAL diseases , *EYE infections , *FLUORESCENT antibody technique , *GRAM-negative bacteria , *IMMUNOGLOBULINS , *UVEITIS , *VISUAL acuity , *CAT-scratch disease , *RETROSPECTIVE studies , *BACTERIAL antibodies , *DIAGNOSIS , *THERAPEUTICS ,THERAPEUTIC use of glucocorticoids - 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. [ABSTRACT FROM AUTHOR]- Published
- 2018
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