Cat Scratch Disease: Not a Benign Condition.

Abstract:

PURPOSE:Describe a case series of ocular Cat-scratch-disease (CSD) with vision-threatening findings and poor outcomes, indicating severity of disease. METHODS:Retrospective case series from the Uveitis Department of São Paulo Federal University from 2011 to 2015. RESULTS:In this period, six eyes of four patients had confirmed diagnosis of CSD. Two were male and two female. Mean age was 24.8 years old [7-45]. Two had bilateral disease. Visual acuity at presentation ranged from no light perception to 20/25. Three patients were treated with doxycycline and one with clarithromycin and prednisone. Visual outcome after treatment ranged from counting fingers to 20/20: 5/6 eyes had final visual acuity of less than 20/40 and 3/6 had final visual acuity equal or less than 20/400. CONCLUSION:Although usually described as a benign disease with spontaneous resolution, CSD can present with atypical manifestations such as vascular angiomatous lesions, serous retinal detachment, and vascular occlusion syndromes, carrying a severe course and guarded prognosis.

journal_name

Ocul Immunol Inflamm

authors

Barros S,de Andrade GC,Cavalcanti C,Nascimento H

doi

10.1080/09273948.2017.1327077

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

1115-1122

issue

7

eissn

0927-3948

issn

1744-5078

journal_volume

26

pub_type

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