A case of Bartonellosis mimicking systemic lupus erythematosus

Kara M., Ozdemir G. N., Tasdemir M., Ata S., Karini B., Valiyev E., ...More

EUROPEAN JOURNAL OF OPHTHALMOLOGY, vol.33, no.6, 2023 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Editorial Material
  • Volume: 33 Issue: 6
  • Publication Date: 2023
  • Doi Number: 10.1177/11206721221137163
  • Journal Name: EUROPEAN JOURNAL OF OPHTHALMOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, MEDLINE
  • Keywords: Antinuclear antibody, Bartonella, systemic lupus erythematosus, CAT-SCRATCH DISEASE
  • Istanbul University Affiliated: Yes

Abstract

Background and aim: Cat-scratch disease (CSD) is a systemic bacterial infection caused by Bartonella henselae. The disease is typically characterized by regional lymphadenopathy developing after scratches from domestic or feral cats. Rarely, systemic involvement may be observed. The co-occurrence with glomerulonephritis and positive antinuclear antibody (ANA) tests have been reported before. In these cases, the disease can be misdiagnosed as systemic lupus erythematosus. Ocular involvement occurs in 5%-10% of the cases with CSD, and neuroretinitis is among the common manifestations. Administration of corticosteroids (CSs) in addition to antibiotics has been shown to improve prognosis in neuroretinitis cases. However, the optimal dose and duration, remain ill-defined.