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[Cat scratch disease with posterior segment involvement]
Kaori Kobayashi1, Takafumi Koga, Teruhiko Oki
1Department of Ophthalmology, Saga Medical School, 5-1-1 Nabeshima, Saga 849-8501, Japan.
Purpose:
To describe the clinical characteristics of patients with cat scratch disease during the last 2 years.
Methods:
Clinical characteristics and anterior and posterior segment manifestations were reviewed in five patients who were serologically diagnosed as having cat scratch disease.
Results:
Four women and one man were examined. Their ages ranged from 7 to 60 years. Each patient had a markedly elevated serum anti-Bartonella henselae antibody titer. Visual symptoms developed 2 weeks or less after the onset of systemic symptoms. Lymphadenopathy was detected in one of five patients. Neuroretinitis was found in 4 patients, and papillitis in 1 patient. Seven eyes showed retinochoroidal exudates. Anterior uveitis was observed in three eyes. Four patients received systemic corticosteroids.
Conclusion:
The ocular manifestations of cat scratch disease include neuroretinitis, papillitis, retinochoroidal exudates, and anterior uveitis.