Neuroretinitis caused by Bartonella henselae in Gipuzkoa, 2014-2019.
Neurorretinitis por Bartonella henselae en Gipuzkoa, 2014-2019.
Bartonella henselae
Cat scratch disease
Enfermedad por arañazo de gato
Neuroretinitis
Neurorretinitis
Journal
Enfermedades infecciosas y microbiologia clinica (English ed.)
ISSN: 2529-993X
Titre abrégé: Enferm Infecc Microbiol Clin (Engl Ed)
Pays: Spain
ID NLM: 101777541
Informations de publication
Date de publication:
16 Sep 2020
16 Sep 2020
Historique:
received:
17
06
2020
revised:
09
07
2020
accepted:
13
07
2020
entrez:
20
9
2020
pubmed:
21
9
2020
medline:
21
9
2020
Statut:
aheadofprint
Résumé
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.
Identifiants
pubmed: 32950265
pii: S0213-005X(20)30261-5
doi: 10.1016/j.eimc.2020.07.007
pii:
doi:
Types de publication
Journal Article
Langues
eng
spa
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2020 Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. Publicado por Elsevier España, S.L.U. All rights reserved.