Bartonella neuroretinitis (cat-scratch disease)

Yap, Siew Mei; Saeed, Mamoun; Logan, Patricia; Healy, Daniel G.

doi:10.1136/practneurol-2020-002586

Cited by 10 publications

(16 citation statements)

References 2 publications

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“…The patient's mother had a history of breeding cats, which was mentioned in another day interview, and the antibody against Bartonella henselae was positive at a later date, resulting in the definitive diagnosis of optic retinitis associated with CSD. The frequency of optic neuroretinitis in CSD is 1–2%, but according to Yap et al [ 6 ], CSD is one of the most common infectious causes of infectious optic neuroretinitis.…”

Section: Discussionmentioning

confidence: 99%

A Case of Cat Scratch Disease with Neuroretinitis in a 16-Month-Old Boy

Nakata

Kakehi

Okada

et al. 2022

Case Reports in Ophthalmological Medicine

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Purpose. We report a case of neuroretinitis associated with cat scratch disease (CSD) in young children. Method. Case report. Results. A 16-month-old boy was admitted for a detailed examination and treatment of a fever of unknown origin. Blood tests revealed no significant findings other than a white blood cell count of 16,100/mm3 and C-reactive protein level of 9.89 mg/dL. Computed tomography revealed no relevant findings to determine the causative disease. Antibiotic therapy with cefotaxime was initiated; however, the fever did not resolve. The patient was referred to our department for further examination to detect the cause of the fever. Fundoscopy revealed neuroretinitis in the right eye. His mother reported a history of breeding cats. Cat scratch disease (CSD) was suspected based on the clinical course and fundus findings. Cefotaxime was discontinued, and azithromycin, rifampicin, and prednisolone were administered, following which the fever disappeared and fundus findings improved. Immunoglobulin G (IgG) and IgM antibodies against Bartonella henselae was positive, leading to a definitive diagnosis of CSD. Conclusion. Infants cannot complain of decreased visual acuity; therefore, these findings may be overlooked unless a fundus examination is performed. As in this case, the early detection of neuroretinitis by an ophthalmologist may help in the diagnosis of CSD. It is extremely difficult to capture a photograph of the fundus of an infant, and recording with a smartphone is relatively simple and useful for monitoring continuous changes. Summary. We describe a case of neuroretinitis associated with cat scratch disease (CSD) that was diagnosed on the basis of fundus findings. The findings suggest the importance of an aggressive ophthalmologic examination when CSD is suspected in young children who are unable to describe their symptoms.

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Section: Discussionmentioning

confidence: 99%

A Case of Cat Scratch Disease with Neuroretinitis in a 16-Month-Old Boy

Nakata

Kakehi

Okada

et al. 2022

Case Reports in Ophthalmological Medicine

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“…Yep et al [ 127 ] reported on the case of a young woman presenting with meningitis and neuroretinitis who had fever, sweating, a left frontal headache, hazy vision, and painful left-eye movements for five days. A central scotoma decreased color vision, and enlargement of the optic disc and macula were seen in the left eye.…”

Section: Neurologic Manifestationsmentioning

confidence: 99%

The Clinical Profile of Cat-Scratch Disease’s Neuro-Ophthalmological Effects

et al. 2022

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Cat-scratch disease is an illness caused by Bartonella henselae that occurs as a result of contact with an infected kitten or dog, such as a bite or scratch. It is more prevalent in children and young adults, as well as immunocompromised individuals. There are limited publications examining the features of CSD in patients. As such, the purpose of this research was to assess the clinical neuro-ophthalmological consequences of CSD reported in the literature. Among the ophthalmologic disorders caused by cat-scratch disease in humans, Parinaud oculoglandular syndrome, uveitis, vitritis, retinitis, retinochoroiditis and optic neuritis are the most prevalent. The neurological disorders caused by cat-scratch disease in humans include encephalopathy, transverse myelitis, radiculitis, and cerebellar ataxia. The current review addresses the neuro-ophthalmological clinical manifestations of cat-scratch disease, as described in papers published over the last four decades (1980–2022). All the data gathered were obtained from PubMed, Medline and Google Scholar. The current descriptive review summarizes the most-often-encountered clinical symptomatology in instances of cat-scratch disease with neurological and ocular invasion. Thus, the purpose of this review is to increase knowledge of cat-scratch disease’s neuro-ophthalmological manifestations.

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“…При поступлении пациент был обследован на бартонеллез, тест оказался отрицательным. Однако при повторном проведении анализа был выявлен диагностический титр антител к Bartonella henselae [13].…”

Section: материалы и методыunclassified

A clinical case of the development of a rare manifestation of cat scratch disease

Kolesnikov

Kirsanova

Kulina

et al. 2022

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Introduction. Cat scratch disease is a common infectious disease caused by intracellular microorganisms Bartonella henselae, which are widespread among wild and domestic animals. The aim of study was to demonstrate a rare clinical case of chorioretinitis against the background of a 10-year-old child’s bartonellosis. Materials and methods. A 10-year-old child received with complaints about a significant decrease of vision and lowering of the upper eyelid of the left eye. The disease began with increase in temperature to 37.5 °C, abdominal pain. Three days later, these ophthalmic complaints appeared. After examining a paediatric ophthalmologist, neurologist and conducting an additional instrumental survey, the patient was hospitalised in an ophthalmological hospital. When acuity of vision of the left eye was 0.02 n/a, the upper eyelid was lowered. On the fundus there was a pronounced extensive edema of the optic nerve disc (OND) with prominance, from OND to the macular zone there was an extensive high retinal swelling. The department conducted a standard clinical examination, blood test for chronic infections, examination of visual evoked potentials and other instrumental examinations. From the first day, local and general antibacterial and anti-inflammatory treatment was carried out. Results and Discussion. Positive dynamics has been observed since the fourth day of treatment, but the visual acuity of the left eye has not improved. On the eighth day, the patient was discharged for subsequent hospitalisation at the Federal State Budgetary Institution NMRC of Eye Diseases named after Helmholtz, in which he was examined for bartonellosis and identified IgG to Bartonella henselae 1:160. Final clinical diagnosed: Left eye neuroretinitis associated with bartonellosis. On the fourteenth day after treatment, the patient was discharged - the left eye was almost calm, visual acuity was 0.06. In this clinical case, a rare manifestation of cat scratches disease is described. Due to the late visit to an ophthalmologist and the late start of medical treatment, it was not possible to fully restore the vision of the left eye. Conclusion. In most cases, it takes a lot of time to make a diagnosis, and specific treatment begins late, in connection with which it is necessary to draw attention to this problem of doctors of different directions. It should also be remembered that any atypical manifestation of the disease serves as a reason to exclude rickettsiosis, including bartonellosis.

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Bartonella neuroretinitis (cat-scratch disease)

Cited by 10 publications

References 2 publications

A Case of Cat Scratch Disease with Neuroretinitis in a 16-Month-Old Boy

A Case of Cat Scratch Disease with Neuroretinitis in a 16-Month-Old Boy

The Clinical Profile of Cat-Scratch Disease’s Neuro-Ophthalmological Effects

A clinical case of the development of a rare manifestation of cat scratch disease

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