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Seven cases of cat-scratch disease with fundus involvement Tetsuya Uchida 1 , Ken Fukuda 1 , Keiko Yoshimura 1 , Kayoko Ota 1 , Naoki Kumagai 1 , Teruo Nishida 1 1Dept of Ophthalmol, Yamaguchi Univ Grad Sch of Med pp.45-52
Published Date 2008/1/15
DOI https://doi.org/10.11477/mf.1410102110
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Abstract. Purpose:To report 7 cases of cat-scratch disease with fundus manifestations. Cases:A total of 8 eyes in 7 cases were diagnosed with cat-scratch disease during the past 8 years 5 months. All were positive for Bartonella henselae antibody in the serum. The series comprised 3 eyes of 3 males and 5 eyes of 4 females. The age ranged from 10 to 56 years, average 27 years. Chief complaints included impaired visual acuity and central scotoma. Initial visual acuity was 0.5 or less in all the affected eyes. Signs and symptoms included fever 6 cases, anterior uveitis 2 cases, retinochoroidal exudates with star figure 7 cases, retinal hemorrhage 6 cases, and optic neuritis 5 cases. Three patients received no medication and 4 patients were given systemic antibiotic drug and/or corticosteroid. All the 7 cases showed final visual acuity of 0.7 or better. Conclusion:Cat-scratch disease with fundus involvement may be self-limited and tends to occur in juveniles under 20 years of age. Medication is indicated for cases with severe chorioretinitis.


Copyright © 2008, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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