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CARTAS AO EDITOR | LETTERS TO THE EDITOR<br />

Optic neuropathy and cat scratch disease<br />

Neuropatia óptica e doença da arranhadura do gato<br />

Editor, a recent report on optic neuropathy and cat scratch disease<br />

is very interesting (1) . In<strong>de</strong>ed, the ocular involvement in cat<br />

scratch disease is not uncommon but usually overlook. Gann et<br />

al quoted that “Cat scratch disease should be consi<strong>de</strong>red in the<br />

differential diagnosis for patients presenting with blurred vision<br />

and headache, even in the absence of fever, lympha<strong>de</strong>nopathy, or<br />

both (2) .” This disease can usually be self-limited in healthy subjects<br />

but can be serious in some cases. The important point is the concern<br />

of the first physician who gets the case on this disease. This condition<br />

can be overlooked and if the serious presentation occurs, the<br />

late diagnosis can <strong>de</strong>teriorate the clinical outcome.<br />

Viroj Wiwanitkit 1<br />

REFERENCES<br />

1. Aragão RE, Ramos RM, Bezerra AF, Cavalcanti Júnior RB, Albuquerque TL. Optic neuropathy<br />

secondary to cat scratch disease: case report. Arq Bras Oftalmol. 2010; 73(6):537-8.<br />

2. Gan JJ, Man<strong>de</strong>ll AM, Otis JA, Holmuhamedova M, Perloff MD. Suspecting optic neuritis,<br />

diagnosing Bartonella cat scratch disease. Arch Neurol. 2011;68(1):122-6.<br />

Submitted for publication: May 3, 2011<br />

Accepted for publication: May 23, 2011<br />

1<br />

Physician, Wiwanitkit house.<br />

Funding: No specific financial support was available for this study.<br />

Disclosure of potential conflicts of interest: V.Wiwanitkit, None.<br />

Correspon<strong>de</strong>nce address: Viroj Wiwanitkit. Wiwanitkit House, Bangkhae, Bangkok, Thailand<br />

10160 - Email: somsriwiwan@hotmail.com<br />

XXXII CONGRESSO DO HOSPITAL SÃO GERALDO<br />

03 a 05 <strong>de</strong> novembro <strong>de</strong> 2011<br />

Belo Horizonte - MG<br />

• Informações:<br />

Rho<strong>de</strong>s Eventos<br />

Tel.: (31) 3227-8544<br />

Arq Bras Oftalmol. 2011;74(2):147<br />

147

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