以单侧全葡萄膜炎表现，类似Vogt-小柳-原田综合征的汉赛巴尔通体感染。
Bartonella henselae infection presenting as a unilateral panuveitis simulating Vogt-Koyanagi-Harada syndrome.
作者信息
Khurana Rahul N, Albini Thomas, Green Ronald L, Rao Narsing A, Lim Jennifer I
机构信息
Doheny Eye Institute, University of Southern California Keck School of Medicine, Los Angeles, California, USA.
出版信息
Am J Ophthalmol. 2004 Dec;138(6):1063-5. doi: 10.1016/j.ajo.2004.06.036.
PURPOSE
To report an unusual ocular manifestation of cat scratch disease.
DESIGN
Observational case report.
METHODS
Review of the clinical, laboratory, photographic, and angiographic records of a patient with cat scratch disease.
RESULTS
A 54-year-old woman presented with counting fingers visual acuity in the right eye associated with optic disk edema, diffuse choroidal thickening, and panuveitis. Fluorescein angiography showed disk leakage and hyperfluorescent spots with late leakage suggestive of Vogt-Koyanagi-Harada disease. She was diagnosed with cat scratch disease by serum antibody titers and clinical course.
CONCLUSIONS
Ocular manifestations of cat scratch disease can include diffuse thickening of the choroid. Cat scratch disease may manifest with angiographic features suggestive of Vogt-Koyanagi-Harada disease.
目的
报告猫抓病一种不寻常的眼部表现。
设计
观察性病例报告。
方法
回顾一名猫抓病患者的临床、实验室、影像学及血管造影记录。
结果
一名54岁女性右眼视力仅能数指，伴有视盘水肿、脉络膜弥漫性增厚和全葡萄膜炎。荧光素血管造影显示视盘渗漏及高荧光斑，晚期渗漏提示Vogt-小柳原田病。通过血清抗体滴度和临床病程，她被诊断为猫抓病。
结论
猫抓病的眼部表现可包括脉络膜弥漫性增厚。猫抓病可能表现出提示Vogt-小柳原田病的血管造影特征。
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