A case of Bartonellosis mimicking systemic lupus erythematosus

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

EUROPEAN JOURNAL OF OPHTHALMOLOGY, cilt.33, sa.6, 2023 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Editöre Mektup
  • Cilt numarası: 33 Sayı: 6
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1177/11206721221137163
  • Dergi Adı: EUROPEAN JOURNAL OF OPHTHALMOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, MEDLINE
  • Anahtar Kelimeler: Antinuclear antibody, Bartonella, systemic lupus erythematosus, CAT-SCRATCH DISEASE
  • İstanbul Üniversitesi Adresli: Evet

Özet

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.