Severe occlusive vasculitis as a complication of cat scratch disease

Détails

ID Serval
serval:BIB_11C4266B575C
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Severe occlusive vasculitis as a complication of cat scratch disease
Périodique
Klinische Monatsblätter für Augenheilkunde
Auteur(s)
Berguiga M., Abouzeid H., Bart P.A., Guex-Crosier Y.
ISSN
0023-2165
Statut éditorial
Publié
Date de publication
2008
Peer-reviewed
Oui
Volume
225
Numéro
5
Pages
486-487
Langue
anglais
Résumé
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.
Mots-clé
Adult, Animals, Arterial Occlusive Diseases, Bites and Stings, Cat-Scratch Disease, Cats, Female, Humans, Retinal Vasculitis
Pubmed
Web of science
Création de la notice
22/01/2009 15:50
Dernière modification de la notice
20/08/2019 13:39
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