Details

Autor(en) / Beteiligte

• Salicio-Bermejo, Yolanda
• Cilla-Eguiluz, Gustavo
• Blanco-Esteban, Ana
• Martin-Peñaranda, Tania
• Grandioso-Vas, David
• Echeverría-Irigoyen, María Julia

Titel

Neuroretinitis caused by Bartonella henselae in Gipuzkoa, 2014-2019

Ist Teil von

• Enfermedades infecciosas y microbiologia clinica (English ed.), 2020-09

Ort / Verlag

Spain

Erscheinungsjahr

2020

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• 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.