Jafari Samira, Micieli Jonathan A
Kensington Vision and Research Centre, Toronto, ON, Canada.
Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada.
Case Rep Ophthalmol. 2024 Aug 12;15(1):628-632. doi: 10.1159/000540125. eCollection 2024 Jan-Dec.
, the causative agent of cat scratch disease (CSD), presents with diverse ocular manifestations, posing diagnostic challenges. This study aimed to elucidate the diagnostic complexities through a unique case.
A 42-year-old male presented with vision loss in the right eye, subsequent to flu-like symptoms following exposure to a stray kitten. Clinical examination revealed branch retinal artery occlusion (BRAO) in the right eye and neuroretinitis in the left, indicating concurrent ocular manifestations of CSD. Thorough investigations, including serological testing, ruled out alternative causes, highlighting the rarity of such coexisting ocular complications.
The coexistence of BRAO and neuroretinitis in different eyes underscores the variable presentation of CSD. Recognition of infectious etiologies, particularly , is paramount in diagnosing ocular vasculopathies. This case emphasizes the importance of considering infection in patients with ocular vascular occlusions, especially in the context of recent cat exposure and systemic symptoms suggestive of CSD.
巴尔通体是猫抓病（CSD）的病原体，可表现出多种眼部症状，给诊断带来挑战。本研究旨在通过一个独特病例阐明诊断的复杂性。
一名42岁男性在接触一只流浪小猫后出现类似流感的症状，随后右眼视力丧失。临床检查发现右眼视网膜分支动脉阻塞（BRAO），左眼视神经视网膜炎，提示猫抓病的并发眼部表现。包括血清学检测在内的全面检查排除了其他病因，凸显了这种并存眼部并发症的罕见性。
不同眼睛中BRAO和视神经视网膜炎的并存强调了猫抓病表现的多样性。认识到感染病因，尤其是巴尔通体，对于诊断眼部血管病变至关重要。该病例强调了在患有眼部血管阻塞的患者中考虑巴尔通体感染的重要性，特别是在近期接触猫且有提示猫抓病的全身症状的情况下。
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