Article
Cat scratch disease – an important retinal and neuroopthalmologic differential diagnosis
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Published: | May 30, 2012 |
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Outline
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Background: Cat scratch disease is transmitted via cat scratches as well as flea of cats and dogs. Infection rates for cats in europe range from 12 to 90%. The clinical relevance is is supposed to be underestimated.
Method: Description of the clinical ophthalmologic presentation of cat scratch disease in selected cases.
Results: Especially macular lipid exudation as well as focal chorioretinal infiltrates should lead to serologic clarification of the presumed diagnosis. In some cases of suspected toxoplasmotic chorioretinitis clinical recovery was achieved only after macrolid antibiotic but not after anti-toxoplasmotic antibiotic therapy.
Conclusions: In cases of neuroretinitis and/or chorioretinitis, bartonella infections should be considered and clarified using simple serologic IFA-tests. Therapy consist of systemic macolide therapy, e.g. azithromycin which in most cases improve recovery.