Anterior uveitis associated with cat scratch disease

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Abstract
A 51 year old man presented to us with a 2 week history of a painful, red left eye associated with a reduction in vision. He gave a clear account of being scratched by his kitten, over the left eyebrow 3 weeks earlier. The ensuing fever, rigors, and submandibular lymphadenopathy had led his general practitioners to prescribe a course of oral clarithromycin for presumed CSD. Our patient developed pain and redness of a moderate degree in his left eye during a conference in Denmark 1 week after the scratch. He was seen by a local ophthalmologist who made a diagnosis of Parinaud’s oculoglandular conjunctivitis and prescribed tetracycline four times daily to the affected left eye. His symptoms, however, failed to improve on this treatment.

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