Article in Japanese

Familial cases of cat scratch disease starting from a 10-year-old girl with only fever and neuroretinitis

Megumi MIYAGI¹⁾, Takafumi OKADA^1,2), Keiko NISHIMURA³⁾, Masashi YANAGIHARA⁴⁾, Hidehiro TSUNEOKA⁴⁾

This study reported a familial case of cat scratch disease (CSD), starting from a 10-year-old girl of prolonged fever and neuroretinitis without lymphadenitis. She was admitted to hospital as an index case to examine the cause of the prolonged fever. On admission, she also complained of recent left visual loss, and a prompt examination of her ocular fundus found neuroretinitis of the left eye. At the same time, her parents had cervical or inguinal lymphadenopathy. Their record of keeping a number of cats and dogs raised suspicion of CSD. The girl was treated with antibiotics and systemic corticosteroids for neuroreninitis, and her parents were given antibiotics. In retrospect, CSD was diagnosed serologically in all cases. If a case has prolonged fever without focus or with neuroretinitis, CSD should be considered in differential diagnosis. Additionally, familial occurrence of CSD should be noted.

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1) Department of Pediatrics, National Hospital Organization Shikoku Medical Center for Children and Adults
2) Department of Pediatric infectious diseases, National Hospital Organization Shikoku Medical Center for Children and Adults
3) Department of Clinical Laboratory, National Hospital Organization Shikoku Medical Center for Children and Adults
4) Department of Laboratory Sciences, Faculty of Health Sciences, Yamaguchi University Graduate School of Medicine

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Received	July 5, 2015
Accepted	October 21, 2015

27 (4)：285─289,2016