Salicio-Bermejo Yolanda, Cilla-Eguiluz Gustavo, Blanco-Esteban Ana, Martin-Peñaranda Tania, Grandioso-Vas David, Echeverría-Irigoyen María Julia
Servicio de Microbiología, Hospital Universitario Donostia, Organización Sanitaria Integrada Donostialdea, San Sebastián, Gipuzkoa, España.
Servicio de Microbiología, Hospital Universitario Donostia, Organización Sanitaria Integrada Donostialdea, San Sebastián, Gipuzkoa, España; Instituto de Investigación Sanitaria Biodonostia, Área de Enfermedades Infecciosas, San Sebastián, Gipuzkoa, España.
Enferm Infecc Microbiol Clin (Engl Ed). 2020 Sep 16. doi: 10.1016/j.eimc.2020.07.007.
Bartonella henselae causes cat scratch disease (CSD), spread by a cat scratch or bite. Cats are its main reservoir. This sometimes results in optic neuritis or neuroretinitis.
To review these conditions in Gipuzkoa (Spain), 2014-2019.
A retrospective review of serology and clinical records, selecting those with consistent clinical signs, contact with cats and positive serology for B. henselae (IgG-IFA≥1/256).
Sixty-four patients had CSD. Of these, one had optic neuritis and 3 had neuroretinitis (4/64; 6.3%). In 3 patients, flu-like symptoms preceded eye symptoms. Two suffered from loss of visual acuity at discharge, despite prolonged treatment with antibiotics and corticosteroids.
Optic neuritis and neuroretinitis caused by B. henselae are severe complications with a non-negligible incidence among patients with CSD in Gipuzkoa. We recommend ruling out CSD in patients with symptoms of optic neuritis or neuroretinitis (sudden vision loss, etc.) and contact with cats.
亨氏巴尔通体可引发猫抓病（CSD），通过猫抓或猫咬传播。猫是其主要宿主。这有时会导致视神经炎或神经视网膜炎。
回顾2014年至2019年西班牙吉普斯夸省的这些病症。
对血清学和临床记录进行回顾性分析，选取那些具有一致临床症状、与猫有接触且针对亨氏巴尔通体血清学检测呈阳性（IgG - IFA≥1/256）的病例。
64例患者患有猫抓病。其中，1例患有视神经炎，3例患有神经视网膜炎（64例中有4例；6.3%）。3例患者在眼部症状出现之前有类似流感的症状。尽管使用抗生素和皮质类固醇进行了长期治疗，但仍有2例患者出院时视力下降。
在吉普斯夸省，亨氏巴尔通体引起的视神经炎和神经视网膜炎是严重并发症，在猫抓病患者中发病率不可忽视。我们建议对出现视神经炎或神经视网膜炎症状（如突然视力丧失等）且与猫有接触的患者排除猫抓病。
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