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Cat-scratch disease manifesting as uveitis and binocular fundus nodular lesions: a case report.

Authors :
Hong, Hao
Li, Tianxi
Ying, Ye
An, Qi
Liu, Hu
Liang, Kang
Source :
BMC Ophthalmology; 8/7/2023, Vol. 23 Issue 1, p1-6, 6p
Publication Year :
2023

Abstract

Background: Cat-scratch disease typically presents with various ocular manifestations such as uveitis, vitritis, retinitis, retinochoroiditis, and optic neuritis. However, fundus nodular lesions was rarely reported. In our study, we reported a case of Cat-Scratch disease with binocular fundus nodular lesions. Case presentation: An 11-year old male presented with uveitis in the right eye and bilateral fundus nodular lesions after indirect contact with unvaccinated cats. Comprehensive ancillary examinations including wide-angle fundus photography, ultrasonography, fluorescein fundus angiography, optical coherence tomography, and orbital magnetic resonance imaging were performed to elucidate the multidimensional features of the binocular lesions. Metagenomics next-generation sequencing was utilized to confirm the diagnosis of Cat-scratch disease. The patient's condition showed improvement after a 6-month combination treatment regimen involving systemic administration of doxycycline hyclate and methylprednisolone tablets, as well as local application of mydriatic and corticosteroid eye drops. Conclusions: We firstly reported a case of Cat-scratch disease presenting simultaneously with uveitis and fundus nodular lesions caused by Bartonella henselae infection in a child. Timely diagnosis and treatment with antibiotics and corticosteroids showed promising outcomes for the prognosis of these ocular disorders. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
14712415
Volume :
23
Issue :
1
Database :
Complementary Index
Journal :
BMC Ophthalmology
Publication Type :
Academic Journal
Accession number :
169780776
Full Text :
https://doi.org/10.1186/s12886-023-03063-4