[Sudden sight impairment revealing a cat-scratch disease: report of three cases].
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 boy 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 efficient in two cases.


CONCLUSIONS
Cat-scratch disease can be characterized by an isolated and acute sight impairment with a stellate neuroretinitis. The potency of antibiotic treatments is debatable.
Service de pédiatrie, CHT de Magenta, BP J5, 98849 Nouméa, Nouvelle-Calédonie. laurentbessonleaud@hotmail.com <laurentbessonleaud@hotmail.com>
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Mancel
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Missotte
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Morlat
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Menager
D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000188:drug therapy; D002648:Child; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D006801:Humans; D008206:Lymphatic Diseases / Q000188:drug therapy / Q000382:microbiology*
D000900:Anti-Bacterial Agents