Cat Scratch Disease Presenting with Right Branch Retinal Artery Occlusion and Left Neuroretinitis.

IF 0.5 Q4 OPHTHALMOLOGY

Case Reports in Ophthalmology Pub Date : 2024-08-12 eCollection Date: 2024-01-01 DOI:10.1159/000540125

Samira Jafari, Jonathan A Micieli

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引用次数: 0

Abstract

Introduction: Bartonella henselae, the causative agent of cat scratch disease (CSD), presents with diverse ocular manifestations, posing diagnostic challenges. This study aimed to elucidate the diagnostic complexities through a unique case.

Case presentation: A 42-year-old male presented with vision loss in the right eye, subsequent to flu-like symptoms following exposure to a stray kitten. Clinical examination revealed branch retinal artery occlusion (BRAO) in the right eye and neuroretinitis in the left, indicating concurrent ocular manifestations of CSD. Thorough investigations, including serological testing, ruled out alternative causes, highlighting the rarity of such coexisting ocular complications.

Conclusions: The coexistence of BRAO and neuroretinitis in different eyes underscores the variable presentation of CSD. Recognition of infectious etiologies, particularly Bartonella, is paramount in diagnosing ocular vasculopathies. This case emphasizes the importance of considering Bartonella infection in patients with ocular vascular occlusions, especially in the context of recent cat exposure and systemic symptoms suggestive of CSD.

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猫抓病伴有右视网膜分支动脉闭塞和左侧神经视网膜炎。

导言：河南巴顿氏菌是猫抓病（CSD）的致病菌，其眼部表现多种多样，给诊断带来了挑战。本研究旨在通过一个独特的病例来阐明诊断的复杂性：一名 42 岁的男性因接触一只流浪小猫而出现流感样症状，随后右眼视力下降。临床检查发现右眼视网膜动脉分支闭塞（BRAO），左眼神经视网膜炎，表明同时存在 CSD 的眼部表现。包括血清学检测在内的全面检查排除了其他病因，突显了这种并存的眼部并发症的罕见性：结论：BRAO和神经视网膜炎在不同的眼睛中同时存在，这凸显了CSD表现的多变性。识别感染性病因，尤其是巴顿氏菌，对于诊断眼部血管疾病至关重要。本病例强调了在眼部血管闭塞患者中考虑巴顿氏菌感染的重要性，尤其是在近期接触过猫且全身症状提示 CSD 的情况下。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Ophthalmology OPHTHALMOLOGY-

CiteScore

0.90

自引率

0.00%

发文量

129

审稿时长

12 weeks

期刊介绍： This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.

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