Original Paper

International Ophthalmology

, Volume 30, Issue 5, pp 553-558

First online:

Cat-scratch disease: ocular manifestations and visual outcome

  • André L. L. CuriAffiliated withDepartment of Ophthalmology, Instituto de Pesquisa Clinica Evandro Chagas, IPEC-FIOCRUZDepartment of Ophthalmolgy, Federal University of Minas Gerais Email author 
  • , Danuza MachadoAffiliated withDepartment of Ophthalmolgy, Federal University of Minas Gerais
  • , Gustavo HeringerAffiliated withDepartment of Ophthalmolgy, Federal University of Minas Gerais
  • , Wesley Ribeiro CamposAffiliated withDepartment of Ophthalmolgy, Federal University of Minas Gerais
  • , Cristiane LamasAffiliated withLaboratory of Hantaviroses and Rickettsioses, Instituto Oswaldo Cruz-IOC-FIOCRUZ
  • , Tatiana RozentalAffiliated withLaboratory of Hantaviroses and Rickettsioses, Instituto Oswaldo Cruz-IOC-FIOCRUZ
  • , Alexandro GutierresAffiliated withLaboratory of Hantaviroses and Rickettsioses, Instituto Oswaldo Cruz-IOC-FIOCRUZ
  • , Fernando OreficeAffiliated withDepartment of Ophthalmolgy, Federal University of Minas Gerais
  • , Elba LemosAffiliated withLaboratory of Hantaviroses and Rickettsioses, Instituto Oswaldo Cruz-IOC-FIOCRUZ

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access

Abstract

To describe the intra-ocular manifestations of cat-scratch disease (CSD) found at two uveitis reference centers in Brazil. Retrospective case series study. Review of clinical records of patients diagnosed with CSD in the Uveitis Department of São Geraldo Hospital and the Ophthalmology Department of the Instituto de Pesquisa Clínica Evandro Chagas—FIOCRUZ, from 2001 to 2008. In the 8-year period, 24 patients with the diagnosis of CSD were identified. Twelve patients were male and 12 female. The mean age was 27.04 years (range 7–56). Sixteen patients (66.6%) presented with a history of a cat scratch and all patients reported cat exposure. Visual acuity ranged from counting fingers to 1.0 in the affected eye. Thirteen patients presented with bilateral disease. Sixteen (66.6%) patients complained of systemic symptoms, including fever, lymphadenopathy, liver and spleen enlargement and rash. All patients presented with serum antibodies (IgG) to Bartonella henselae. Thirty-seven eyes were affected. The most common findings were small areas of retinal infiltrates which occurred in 11 eyes (29.7%) and angiomatous lesions which occurred in nine eyes (24.3%). Neuroretinitis occurred in only six eyes (16.2%). The most common findings of CSD in our study were retinal infiltrates and angiomatous lesions. CSD patients may present with significant visual loss. Patients may benefit from systemic treatment with antibiotics.

Keywords

Cat-scratch disease Neuroretinitis Retinitis