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Provedor de dados:  BJID
País:  Brazil
Título:  Cat scratch disease complicated with aseptic meningitis and neuroretinitis
Autores:  Pinto Jr.,Vitor Laerte
Curi,André Land
Pinto,Adriana da Silva
Nunes,Estevão Portela
Teixeira,Maria de Lourdes Benamor
Rozental,Tatiana
Favacho,Alexsandra Rodrigues
Lemos,Elba Regina Sampaio de
Bóia,Márcio Neves
Data:  2008-04-01
Ano:  2008
Palavras-chave:  Cat scratch disease
Bartonella henselae
Aseptic meningitis
Resumo:  Cat scratch disease (CSD) is a self limited condition characterized by fever, lymph node enlargement and less often eye involvement. Central nervous system involvement by Bartonella henselae infection is possibly an important cause of morbidity; its role as an agent of aseptic meningitis is unknown. We report a case of a 40 years-old man with CSD accompanied by aseptic meningitis and neuroretinitis. Serum indirect immmunofluorescence (IFI) assays for B. henselae were positive and the cerebrospinal fluid (CSF) analysis showed mononuclear pleocytosis and increased level of protein. Serological tests for other etiologies were negative. The patient responded well to antibiotic therapy with oral doxycicline plus rifampin and in the 12th day of hospitalization evolved to total regression of the headache and partial regression of the visual loss. Clinicians should consider CSD as a differential diagnosis when assessing previously healthy patients with aseptic meningitis associated with regional lymphadenopathy and epidemiological history of feline contact.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000200013
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1590/S1413-86702008000200013
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.12 n.2 2008
Direitos:  info:eu-repo/semantics/openAccess
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