Karti Omer, Ataş Ferdane, Saatci Ali Osman
Department of Ophthalmology, Democracy University, İzmir, Turkey.
Department of Ophthalmology, Dokuz Eylul University, İzmir, Turkey.
Neuroophthalmology. 2021 Jun 11;45(6):361-371. doi: 10.1080/01658107.2021.1939393. eCollection 2021.
Bartonella henselae, an intracellular gram-negative bacillus, is usually transmitted from infected cats to humans by direct or indirect contact. The bacterium mainly infects erythrocytes and endothelial cells thereby leading to so called cat-scratch disease (CSD) and may present with various localised and/or systemic manifestations. The eye is the most commonly affected organ in disseminated CSD and ocular bartonellosis has been reported in 5-10% of CSD patients. The most well-known clinical feature of ocular bartonellosis is neuroretinitis but various sight-threatening posterior segment lesions involving the optic nerve, retinal vasculature, retinal and choroidal tissues may occur during the disease course. This mini-review aims to overview both the clinical and multi-modal imaging characteristics of posterior ocular segment manifestations of CSD.
汉赛巴尔通体是一种细胞内革兰氏阴性杆菌，通常通过直接或间接接触从受感染的猫传播给人类。该细菌主要感染红细胞和内皮细胞，从而导致所谓的猫抓病（CSD），并可能出现各种局部和/或全身表现。眼睛是播散性CSD中最常受累的器官，5%-10%的CSD患者报告有眼部巴尔通体病。眼部巴尔通体病最著名的临床特征是视神经视网膜炎，但在病程中可能会出现各种威胁视力的后段病变，累及视神经、视网膜血管、视网膜和脉络膜组织。本综述旨在概述CSD后段眼部表现的临床和多模态影像学特征。
