Document Detail

Severe occlusive vasculitis as a complication of cat scratch disease.
MedLine Citation:
PMID:  18454406     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The purpose of this communication is to report a severe occlusive vasculitis as a complication of cat scratch. HISTORY AND SIGNS: A 34-year-old Hispanic woman presented with a sudden visual loss of the right eye associated with shivers, high fever and arthritis which developed 2 months after a cat's bite. Fundus examination showed papillitis and a palor of the paramacular zone of the retina. Fluorescein angiography revealed multiple arterial and venous vasculitic occlusions. THERAPY AND OUTCOME: Auto-immune disease and endocarditis were ruled out by an extensive medical work-up. The diagnosis of Bartonella henselae was confirmed by a positive serology. A systemic antibiotherapy with azithromycin, doxycyclin, rifampicin and steroid therapy resulted in a good clinical response, including a rapid visual recovery with a visual acuity of 20/20 and no relapse of the disease at 6 months follow-up. CONCLUSIONS: Ocular complications associated with cat scratch disease may include vasculitis with both arterial and venous occlusions causing severe visual loss.
M Berguiga; H Abouzeid; P-A Bart; Y Guex-Crosier
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Klinische Monatsblätter für Augenheilkunde     Volume:  225     ISSN:  0023-2165     ISO Abbreviation:  Klin Monbl Augenheilkd     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-05-05     Completed Date:  2008-07-25     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0014133     Medline TA:  Klin Monbl Augenheilkd     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  486-7     Citation Subset:  IM    
Jules Gonin Eye Hospital, University of Lausanne, Lausanne, Switzerland.
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MeSH Terms
Arterial Occlusive Diseases / diagnosis*,  drug therapy,  etiology*
Bites and Stings / complications*,  diagnosis*
Cat-Scratch Disease / complications*,  diagnosis*,  drug therapy
Retinal Vasculitis / diagnosis*,  drug therapy,  etiology*

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