猫抓病的眼部并发症  

Ocular complications of cat scratch disease

作　　者：陈莹(综述) 何宇(审校) CHEN Ying;HE Yu(Academy of Ophthalmology,Chengdu University of TCM,Chengdu 610000;Department of Ophthalmology,Chengdu First People’s Hospital/Chengdu Integrated TCM&Western Medicine Hospital,Chengdu 610000,China)

机构地区：[1]成都中医药大学眼科学院,成都610000 [2]成都市第一人民医院/成都市中西医结合医院眼科,成都610000

出　　处：《眼科学报》2022年第8期665-670,共6页Eye Science

摘　　要：猫抓病(cat scratch disease,CSD)是由巴尔通体引起的一种人畜共患病。该病不仅有多种全身表现,还可能出现各种危害视力的眼部并发症。随着家庭饲养宠物不断增多,CSD发病率逐年上升,眼科医生应重视此病。CSD的临床表现多种多样,容易误诊,与猫等宠物接触的病史、高滴度的血清免疫球蛋白G抗体是诊断的关键,聚合酶链反应也有助于诊断。由于CSD通常是免疫能力强的个体的自限性感染,因此通常不需要抗生素治疗。然而,当免疫力低或感染重时,多西环素是最常用的抗生素。Cat scratch disease(CSD)is a zoonotic disease caused by Bartonella,which not only has a variety of systemic manifestations,but also may have various ocular complications that endanger vision.With the increasing number of pets kept at home,its incidence shows an increasing trend year by year.Therefore,ophthalmologists should pay attention to this disease.The clinical manifestations of CSD are various,which easily lead to misdiagnosis.The medical history of contact with cats and other pets and serum immunoglobulin G antibody with high titer are the key to diagnosis,and polymerase chain reaction is also helpful to diagnosis.Because CSD is usually a self-limiting infection of individuals with strong immune ability,antibiotic treatment is usually not required.However,when immunity is low or infection is severe,doxycycline is the most commonly used antibiotic.

关 键 词：汉赛巴尔通体 猫抓病 眼部并发症 视神经视网膜炎 

分 类 号：R597[医药卫生—内科学]