Abstract: Relato de caso de doença da arranhadura do gato (DAG), em um paciente lactente, com história epidemiológica negativa, descrevendo o. Request PDF on ResearchGate | On Jan 1, , Mauricio Magalhaes Costa and others published Doença de arranhadura do gato simulando carcinoma oculto. (conjuntivite com adenite satélite pré-auricular) causada por Bartonella henselae, o agente etiológico da Doença da Arranhadura do Gato.

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Magnetic resonance images of the head and orbits were normal. Rua Casa do Ator, – cj.

Optic neuropathy secondary to cat scratch disease: case report

The patient started a 3-week course of oral mg Doxycycline once daily. Optic neuropathy secondary to cat scratch disease: Although the prognosis is on the whole good there may be residual loss of visual acuity, disc pallor, afferent pupillary defects and retinal pigmentary changes.

There are reports of ocular Bartonella disease with optic disc edema and retinal detachment without the classic macular stellate exudative 9. We describe a case of ocular bartonellosis in one adolescent, with unilateral sudden painless vision loss and neuroretinitis.

Neuroretinitis is characterized by acute visual loss due to optic nerve edema associated with macular exudates in a starlike pattern. Erythrocyte sedimentation rate was 4 mm. The most common posterior segment ocular complication of B.


The pupillary response was normal.

The response to infection depends on the immune status of the infected host. Serologic tests to toxoplasmosis, cytomegalovirosis and HIV 1 and 2 were negative.

All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. The optic disc swelling diminished and the macular stellate remained in the temporal side.

The most common ocular manifestations is the Parinaud syndrome that consist of fever, regional lymphadenopathy, and follicular conjuntivitis, followed by the neuroretinitis 2. Cerebrospinal fluid studies revealed normal cell count, normal chemistries, and absent oligoclonal bands. The optic disc swelling was markedly reduced and the macula stellate exsudates remained.

He denied pain on eye movements and had no systemic or neurological complaints. Macular star in neuroretinitis. Bartonella henselae neuroretinitis in cat scracht disease. Beyond cat scratch disease: Tuberculin skin test was 6 mm. How to cite this article.

Doença por arranhadura do gato

The exact prevalence of neuroretinitis by B. Arch Soc Esp Oftalmol. Relatamos o caso de um adolescente com neuroretinite causada por B.


The diagnosis of the underlying cause of optic neuropathy should be established as soon as possible. Dyschromatopsia was seen in right eye. Bartonella henselae infection associated with neuroretinitis, central retinal artery and vein occlusion, neovascular glaucoma, and severe vision loss. The diagnosis of B. Cat scratch disease has been reported in the literature for more than half a century as a syndrome of regional lymphadenopathy and fever.

The fundoscopy in the left eye was unremarkable but in the right eye revealed a arranhaddura swollen, hyperemic optic disc, serous detachment extending from the disc to the macula, and macular exudates in a stellate pattern Figure 1 OD. A case of a boy with neuroretinitis caused by B. Ocular bartonelosis is usually self-limited with complete or near-complete recovery of vision in otherwise healthy patients. The Optic Neuritis Treatment Trial has shown that intravenous administration of high-dose steroids decreases the risk of progression of optic neuropathy to multiple sclerosis within 2 years of follow-up 5.