Neuroretinitis associated with cat-scratch disease in Japanese patients.
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.
Kodama
Tatsuo
T
Department of Ophthalmology, Shimane Medical University, Izumo, Shimane, Japan. fifa2002@shimane-med.ac.jp
Masuda
Hisashi
H
Ohira
Akihiro
A
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
D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial