Escarmelle A, Delbrassine N, De Potter P
Service d'Ophtalmologie, Cliniques Universitaires St Luc, UCL, 10, avenue Hippocrate, 1200 Bruxelles, Belgique.
J Fr Ophtalmol. 2004 Feb;27(2):179-83. doi: 10.1016/s0181-5512(04)96116-5.
By presenting this case report describing Parinaud's oculoglandular syndrome, we review the medical literature on its most frequent etiology: catscratch disease, a self-limited, systemic illness caused by a Gram-negative bacillus, Bartonella henselae, principally affecting children under 15 years of age. Typical symptoms include regional lymphadenopathy, fever, malaise, and fatigue, possibly with more severe complications such as splenomegaly, granulomatous hepatitis, and encephalopathy. Ocular manifestations may include follicular conjunctivitis, Parinaud's oculoglandular syndrome, neuroretinitis, optic neuritis, and chorioretinitis. Diagnosis is based on serologic tests, and when necessary, antimicrobial treatment can be considered.
通过呈现这份描述帕里诺眼腺综合征的病例报告,我们回顾了关于其最常见病因——猫抓病的医学文献。猫抓病是一种由革兰氏阴性杆菌汉赛巴尔通体引起的自限性全身性疾病,主要影响15岁以下儿童。典型症状包括局部淋巴结病、发热、不适和疲劳,可能还会出现更严重的并发症,如脾肿大、肉芽肿性肝炎和脑病。眼部表现可能包括滤泡性结膜炎、帕里诺眼腺综合征、神经视网膜炎、视神经炎和脉络膜视网膜炎。诊断基于血清学检测,必要时可考虑抗菌治疗。