Ocular manifestation of cat-scratch disease in HIV-positive patients.
OBJECTIVE
To characterize ocular manifestations of cat-scratch disease in HIV-positive patients.


METHODS
Retrospective case series study.


METHODS
Records and photography of patients with the diagnosis of cat-scratch disease and HIV were reviewed.


RESULTS
From 2001 and 2004 three patients with cat-scratch disease and HIV were identified. All patients presented with subretinal mass associated with an abnormal vascular network. Fluorescein angiography revealed this abnormal vascular network more clearly. All patients were treated with antibiotics alone with good response.


CONCLUSIONS
Subretinal mass associated with abnormal vascular network is characteristic of cat-scratch disease in HIV-positive patients. Fluorescein angiography is important to characterize this vascular pattern, and patients may benefit from systemic treatment.
Curi
André L L
AL
Department of Ophthalmology, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil. curiall@nitnet.com.br
Machado
Danuza O
DO
Heringer
Gustavo
G
Campos
Wesley R
WR
Orefice
Fernando
F
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000097:blood; D018416:Bartonella henselae / Q000276:immunology; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D002939:Ciprofloxacin / Q000627:therapeutic use; D004318:Doxycycline / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D015818:Eye Infections, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D005451:Fluorescein Angiography; D006679:HIV Seropositivity / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012164:Retinal Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D012171:Retinal Vessels / Q000187:drug effects / Q000382:microbiology / Q000473:pathology*; D012189:Retrospective Studies
D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial; D002939:Ciprofloxacin; D004318:Doxycycline