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Publications > Détail
Besson-Leaud L, Mancel E, Missotte I, Morlat C, Menager C (2004)
    SUDDEN SIGHT IMPAIRMENT REVEALING A CAT-SCRATCH DISEASE: REPORT OF THREE CASES


    Résumé :
      Cat-scratch disease is a frequent but innocuous cause of chronic lymphadenopathy in children. Numerous atypical forms have been described. We report three cases of acute sight impairment revealing a cat-scratch disease. BACKGROUND : A 13 year-old and two girls aged 10 and 13 suffered from a sudden bilateral sight impairment with papillary edema, with fever in two cases. Neurological examinations, X-rays and lumbar puncture results were found normal. However, all patients were tested positive to Bartonella Henselae. Antibiotic and anti-inflammatory treatments were efficients in two cases. CONCLUSION: Cat-scratch disease can be characterized by an isolated and acute sight impairment with a stellate neuroretinitis. The potency of antibiotic treatment is debatable.

    Mots-Clés :
      Cat-scratch disease - lymphadenopathy - children

    Source :
      Arch Pediatr.2004 Oct.11(10):1209-11
 
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