Jacobs David Jonathan, Scott Michele L, Slusher M Madison
Wake Forest Eye Center, Medical Center Blvd, Winston-Salem, North Carolina 27157, USA.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.09.2008.0904. Epub 2009 Mar 17.
We report an atypical presentation of ocular cat scratch disease (CSD) in an 8-year-old Caucasian male who presented with localised retinal arterial vasculitis and associated retinal oedema. His history of headaches, frequent contact with a kitten and a high Bartonella henslelae titre confirmed the diagnosis of CSD. Over an 18-month follow-up period, his best corrected visual acuity in the affected eye improved from 20/30-2 to 20/25+3 without treatment; however, the affected retinal artery remained sheathed.
我们报告了一名8岁白种男性眼部猫抓病(CSD)的非典型表现,他表现为局限性视网膜动脉血管炎及相关的视网膜水肿。他的头痛病史、频繁接触小猫以及高滴度的汉赛巴尔通体确诊了CSD。在18个月的随访期内,他患眼的最佳矫正视力未经治疗从20/30-2提高到了20/25+3;然而,受累的视网膜动脉仍有鞘膜。