title: Neuroretinitis associated with cat-scratch disease in Japanese patients.
abstract: OBJECTIVE
  To clarify the prevalence and clinical profile of neuroretinitis associated with cat-scratch disease (CSD) in Japan.
  
  
  METHODS
  Japanese patients were searched using a computer web site, Japana Centra Revuo Medicina. Location of patients, medical history, systemic and intraocular findings, treatments and visual outcome were examined.
  
  
  RESULTS
  We reviewed 15 eyes of 14 patients, including our own case. Incidences of the disease were more common in summer than in winter and presented in the warmer parts of Japan. All patients had been previously healthy and had been exposed to cats or flea bites. Of the 14 patients, 13 (93%) had febrile illness and seven of these (54%) had lymphadenopathy. Uveitis and macular stars were observed in 11 of 15 eyes (73%). Most patients were treated with antibiotics and systemic steroids and visual prognoses were good.
  
  
  CONCLUSIONS
  The clinical features of CSD-associated neuroretinitis in Japan are similar to those in other countries. Its distribution may correlate with the prevalence of Bartonella henselae-seropositive cats in Japan.
authors.affiliation: Department of Ophthalmology, Shimane Medical University, Izumo, Shimane, Japan. fifa2002@shimane-med.ac.jp
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Kodama
authors.forename: Hisashi
authors.initials: H
authors.lastname: Masuda
authors.forename: Akihiro
authors.initials: A
authors.lastname: Ohira
mesh_terms: D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000097:blood; D018416:Bartonella henselae / Q000276:immunology / Q000302:isolation & purification; D002372:Cat-Scratch Disease / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D002648:Child; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D005260:Female; D006801:Humans; D015994:Incidence; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011379:Prognosis; D012173:Retinitis / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D012621:Seasons
chemical_list: D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial