1. Diverse Clinical Signs of Ocular Involvement in Cat Scratch Disease
- Author
-
Merih Oray, Sumru Onal, İlknur Tuğal Tutkun, Aylin Koc Akbay, Önal, Sumru (ORCID 0000-0002-4036-922X & YÖK ID 52359), Akbay, Aylin Koç, Oray, Merih, Tutkun, İlknur Tuğal, Koç University Hospital, School of Medicine, and Department of Ophthalmology
- Subjects
Pathology ,medicine.medical_specialty ,genetic structures ,Cat scratch disease ,lcsh:Medicine ,Serous Retinal Detachment ,Optic neuropathy ,Neuroretinitis ,Retinal infiltrate ,Endophthalmitis ,03 medical and health sciences ,Quadrant (abdomen) ,0302 clinical medicine ,lcsh:Ophthalmology ,Ophthalmology ,neuroretinitis ,medicine ,Optic neuritis ,business.industry ,lcsh:R ,Cat-scratch disease ,medicine.disease ,eye diseases ,optic neuropathy ,retinal infiltrate ,medicine.anatomical_structure ,endophthalmitis ,lcsh:RE1-994 ,030221 ophthalmology & optometry ,Original Article ,sense organs ,Differential diagnosis ,business ,Medicine ,030217 neurology & neurosurgery ,Optic disc - Abstract
Objectives: To describe ocular manifestations, diagnosis, and treatment of cat scratch disease. Materials and Methods: Clinical records of patients with ocular cat scratch disease were reviewed. Results: Thirteen eyes of 10 patients (7 female, 3 male) with a mean age of 26.9 +/- 18.5 years were included. Nine patients had a history of cat contact and had systemic symptoms associated with cat scratch disease 2-90 days prior to the ocular symptoms. Ocular signs were: neuroretinitis in 4 eyes (associated with serous retinal detachment in the inferior quadrant in 1 eye), optic neuropathy in 2 eyes (1 papillitis and optic disc infiltration, 1 optic neuritis), retinal infiltrates in 6 eyes, retinochoroiditis in 1 eye, branch retinal arteriolar occlusion in 3 eyes, and endophthalmitis in 1 eye. Visual acuities at presentation were 1.0 in 7 eyes, 0.3 in 1 eye, = 0.1 in 4 eyes, and light perception in 1 eye. Bartonella henselae immunoglobulin (Ig) M and/or IgG were positive in all patients. Systemic antibiotic therapy was administered in all patients. Systemic corticosteroid treatment (15-40 mg/day) was added to the therapy in 4 patients, following 5 days of intravenous pulse methylprednisolone in 2 patients. Treatment was ongoing for 1 patient and the mean treatment duration of the other 9 patients was 47 +/- 14.5 days. Visual acuities at final visit were 1.0 in 9 eyes, 0.8 in 1 eye, 0.4 in 1 eye, and no light perception in 1 eye. Conclusion: Cat scratch disease may present with different ocular signs and should be considered in the differential diagnosis in patients with such presentations., NA
- Published
- 2017