Cat scratch disease complicated with aseptic meningitis and neuroretinitis

Brazilian Journal of Infectious Diseases

Vitor Laerte Pinto Jr.²  André Land Curi²  Adriana Da Silva Pinto²  Estevão Portela Nunes²  Maria De Lourdes Benamor Teixeira²  Tatiana Rozental¹  Alexsandra Rodrigues Favacho¹  Elba Regina Sampaio De Lemos¹  Márcio Neves Bóia¹ 

[1] ,Fiocruz Evandro Chagas Clinical Research Institute

关键词: Cat scratch disease;    Bartonella henselae;    aseptic meningitis;   

DOI  :  10.1590/S1413-86702008000200013

来源: SciELO

【 摘 要 】

Cat scratch disease (CSD) is a self limited condition characterized by fever, lymph node enlargement and less often eye involvement. Central nervous system involvement by Bartonella henselae infection is possibly an important cause of morbidity; its role as an agent of aseptic meningitis is unknown. We report a case of a 40 years-old man with CSD accompanied by aseptic meningitis and neuroretinitis. Serum indirect immmunofluorescence (IFI) assays for B. henselae were positive and the cerebrospinal fluid (CSF) analysis showed mononuclear pleocytosis and increased level of protein. Serological tests for other etiologies were negative. The patient responded well to antibiotic therapy with oral doxycicline plus rifampin and in the 12th day of hospitalization evolved to total regression of the headache and partial regression of the visual loss. Clinicians should consider CSD as a differential diagnosis when assessing previously healthy patients with aseptic meningitis associated with regional lymphadenopathy and epidemiological history of feline contact.

【 授权许可】

CC BY-NC-ND   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License