| Severe occlusive vasculitis as a complication of cat scratch disease. | |
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MedLine Citation:
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PMID: 18454406 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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M Berguiga; H Abouzeid; P-A Bart; Y Guex-Crosier |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Klinische Monatsblätter für Augenheilkunde Volume: 225 ISSN: 0023-2165 ISO Abbreviation: Klin Monbl Augenheilkd Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-05-05 Completed Date: 2008-07-25 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0014133 Medline TA: Klin Monbl Augenheilkd Country: Germany |
Other Details:
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Languages: eng Pagination: 486-7 Citation Subset: IM |
Affiliation:
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Jules Gonin Eye Hospital, University of Lausanne, Lausanne, Switzerland. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Animals Arterial Occlusive Diseases / diagnosis*, drug therapy, etiology* Bites and Stings / complications*, diagnosis* Cat-Scratch Disease / complications*, diagnosis*, drug therapy Cats Female Humans Retinal Vasculitis / diagnosis*, drug therapy, etiology* |
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