PubMed · 3959074
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A Wright, J Moffitt, O B Evans. 1986. Cat scratch encephalopathy.. https://pubmed.ncbi.nlm.nih.gov/3959074/
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Cat scratch disease is a subacute regional lymphadenitis usually preceded by a history of being scratched by a cat or young kitten. The spectrum of illness ranges from mild self-limited adenopathy to severe systemic disease, including hepatosplenomegaly, encephalopathy, osteolytic lesions, splenic abscesses, mediastinal masses, and neuroretinitis. Vision loss is a rare complication of the disease. The authors report a patient with cat scratch disease associated with acute febrile illness, lymphocytic meningitis, and acute vision loss secondary to neuroretinitis. To their knowledge, this is the first ophthalmic case reported in which the diagnosis is supported by both a positive skin test and positive histopathology.
Cat-scratch disease occasionally can be associated with encephalopathy and present as status epilepticus. However, the majority of these patients recover without sequelae, as shown by our patient and previous reports. Cat-scratch disease with encephalopathy should be considered in the differential diagnosis of status epilepticus in children.
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