Liang Tianwei, Cui Yanhui, Hu Man, Cao Di, Yan Honggai, Li Li
Beijing Children's Hospital, Capital Medical University, Beijing 100070, China.
Diagnostics (Basel). 2024 Dec 9;14(23):2767. doi: 10.3390/diagnostics14232767.
Bartonella henselae is a Gram-negative bacillus, mainly parasitizing on cats. When a child is scratched by a cat, they may present with the disease symptoms including regional lymphadenopathy, malaise, fever, and splenomegaly, which is known as cat-scratch disease (CSD). Ocular manifestations occur in 5-10% of patients with CSD. Neuroretinitis is the most common, and, in addition, Parinaud oculoglandular syndrome, endophthalmitis, retinochoroiditis, vascular occlusions, multiple mass-like lesions resembling ocular metastases, serous macular detachments, and retinal vasoproliferative lesions may also occur. We report a case of unilateral exudative retinal detachment and uveitis with a large subretinal deposit on the macula in a 6-year-old female with CSD, along with lymphadenitis on her left thigh. To the best of our knowledge, this case of exudative retinal detachment and uveitis with a large subretinal deposit under the retina affecting the macular area above the optic disc has not been previously reported.
亨氏巴尔通体是一种革兰氏阴性杆菌，主要寄生于猫身上。当儿童被猫抓伤后，可能会出现局部淋巴结病、不适、发热和脾肿大等疾病症状，这被称为猫抓病（CSD）。5%-10%的CSD患者会出现眼部表现。神经视网膜炎最为常见，此外，还可能发生帕里诺眼腺综合征、眼内炎、视网膜脉络膜炎、血管阻塞、类似眼转移瘤的多个肿块样病变、浆液性黄斑脱离和视网膜血管增生性病变。我们报告一例6岁患有CSD的女性患者，出现单侧渗出性视网膜脱离和葡萄膜炎，黄斑区有大量视网膜下沉积物，同时左大腿有淋巴结炎。据我们所知，此前尚未报道过这种伴有视网膜下大量沉积物影响视盘上方黄斑区的渗出性视网膜脱离和葡萄膜炎病例。
