SciELO - Scientific Electronic Library Online

vol.38 issue6Seroepidemiology of human toxoplasmosis in ChileGB virus C/Hepatitis G virus and other putative hepatitis non A-E viruses author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Revista do Instituto de Medicina Tropical de São Paulo

On-line version ISSN 1678-9946

Rev. Inst. Med. trop. S. Paulo vol.38 no.6 São Paulo Nov./Dec. 1996 



Parinaud syndrome caused by Bartonella henselae: case report


Síndrome de Parinaud causada por Bartonella henselae: relato de caso



Carlos Alberto YamashitaI; Adriana MielleI; Natasha SlhessarenkoII; Sérgio NascimentoI; Alfredo GilioI; Márcia PahlI; Bernardo EjzenbergIII; Evandro BaldacciIII; Yassuhiko OkayIV

IMD. Pediatric Division of the University Hospital, Pediatric Department of the School of Medicine of the University of São Paulo
IIMD. Hospital das Clínicas of the School of Medicine of the University of São Paulo
IIIPhD, MD. Pediatric Division of the University Hospital, Pediatric Department of the School of Medicine of the University of São Paulo
IVPhD, MD. Chairman of Pediatrics Department. Pediatric Division of the University Hospital of the School of Medicine of the University of São Paulo

Correspondence to




The authors report a case of Parinaud syndrome (conjunctivitis with pre-auricular satellite adenitis) caused by Bartonella henselae, the etiologic agent of Cat Scratch Disease. The etiologic assessment of this case was performed by serum indirect immunofluorescence reaction and allowed for a better therapeutics and follow up, avoiding ineffective antibiotics and surgical interventions.

Keywords: Cat Scratch Disease; Parinaud Syndrome; Bartonella henselae.


Os autores relatam um caso do Síndrome de Parinaud (conjuntivite com adenite satélite pré-auricular) causada por Bartonella henselae, o agente etiológico da Doença da Arranhadura do Gato. O esclarecimento etiológico deste caso foi feito através da reação de imunofluorescência indireta o que permitiu um adequado enfoque terapêutico e acompanhamento do paciente, evitando o uso de antibióticos inadequados e intervenções cirúrgicas.



Full text available only in PDF format.

Texto completo disponível apenas em PDF.




1. ADAL, K.A.; COCKERELL, C.J. & PETRI Jr., W.A. - Cat Scratch Disease, Bacillary Angiomatosis, and other infections due to Rochalimae. New Engl. J. Med., 330: 1509-1515, 1994.

2. APALSCH, A.M.; NOUR, B. & JAFFE, R. - Systemic Cat-Scratch Disease in a pediatric liver transplant recipient and review of the literature. Pediat. infect. Dis. J., 12: 769-773, 1993.         [ Links ]

3. BARKA, N.E.; HADFIELD, T.; PATNAIK, M. et al. - EIA for detection of Rachalimaea henselae - reactive IgG, IgM and IgA antibodies in patients with suspected Cat-Scratch Disease. J. infect. Dis., 167: 1503-1504, 1993.         [ Links ]

4. BERGMANS, A.M.C.; GROOTHEDDE, J.W.; SCHELLEKENS, J.F.P. et al. - Etiology of Cat Scratch Disease. Comparison of polymerase chain reaction detection of Bartonella (formerly Rochalimaea) and Afipia felis DNA with serology and skin tests. J. infect. Dis., 171: 916-923, 1995.         [ Links ]

5. BERNINI, P.M.; GORCZYCA, J.T. & MODLIN, J.F. - Cat-Scratch Disease presenting as paravertebral abscess. J. Bone Jt. Surg., 76: 1858-1863, 1994.         [ Links ]

6. CARITHERS, H.A. - Cat-Scratch Disease: an overview based on a study of 1,200 patients. Amer. J. Dis. Child., 139: 1124-1133, 1985.         [ Links ]

7. COHEN, S.M.; DAVIS, J.L. & GOSS, D.M. - Branch retinal arterial occlusions in multifocal retinites with optic nerce edema. Arch. Ophthal., 113: 1271-1276, 1995.         [ Links ]

8. DALTON, M.J.; ROBINSON, L.E.; COOPER, J. et al. - Use of Bartonella antigens for serologic diagnosis of Cat-Scratch Disease at a national referral center. Arch. intern. Med., 155: 1670-1676, 1995.         [ Links ]

9. DANGMAN, B.C.; ALBANESE, B.A.; KACILA, M.A. et al. - Cat Scratch Disease in two children presenting with fever of unknown origin imaging features and association with a new causative agent, Rochalimaea henselae. Pediatrics, 95: 767-771, 1995.         [ Links ]

10. FUMAROLA, D.; GIULIANI, G. & PECE, S. - Pathogenic mechanisms of Bartonella henselae infections. Pediat. infect. Dis. J., 15: 385-386, 1996.         [ Links ]

11. GOLDEN, S.E. - Hepatoesplenic Cat-Scratch Disease associated with elevated anti-Rochalimaea antibody titers. Pediat. infect. Dis. J., 12: 868-870, 1993.         [ Links ]

12. GORAL, S.; ANDERSON, B.; HAGER, C. et al. - Detection of Rochalimaea henselae DNA by polymerase chain reaction from suppurative nodes of children with Cat-Scratch Disease. Pediat. infect. Dis. J., 13: 994-997, 1994.         [ Links ]

13. HADLEY, S.; ALBRECHT, M.A. & TARSY, D. - Cat-Scratch encephalopathy: a cause of status epilepticus and coma in a healthy young adult. Neurology, 45: 196, 1995.         [ Links ]

14. HAMILTON, D.H.; ZANGWILL; K.M.; HADLER, J.L. & CARTTER, M.L. - Cat-Scratch Disease - Connecticut, 1992-1993. J. infect. Dis., 172: 570-573, 1995.         [ Links ]

15. KOHLER, J.E.; GLASER, G.A. & TAPPERO, J.W. - Rochalimaea henselae infection: a new zoonosis of domestic cat as a reservoir. J. Amer. med. Ass., 271: 531-535, 1994.         [ Links ]

16. MARGILETH, A.M. - Antibiotic therapy for Cat-Scratch Disease: clinical study of therapeutic outcome in 268 patients and a review of the literature. Pediat. infec. Dis. J., 11: 474-478, 1992.         [ Links ]

17. MARGILETH, A.M. - Cat Scratch Disease. In: BEHRMAN, R.E.; KLIEGMAN, R.M. & ARVIN, A.M., ed. Nelson textbook of pediatrics. Philadelphia. Saunders, 1996. p. 865-867.         [ Links ]

18. NOAH, D.L.; BRESEE, J.S.; GORENSEK. M.J. et al. - Cluster of five children with acute encephalopathy associated with Cat-Scratch Disease in South Florida. Pediat. infect. Dis. J., 14: 866-869, 1995.         [ Links ]

19. RO, J.Y.; BATSAKIS, J.G. & FRAUENHOFFER, E.E. - Bacillary angiomatosis. Ann. Otol. (St Louis), 104: 668-672, 1995.         [ Links ]

20. SZELC-KELLY, C.; GORAL, S.; PEREZ-PEREZ, G.I. et al. - Serologic responses to Bartonella and Afípia antigens in patients with Cat Scratch Disease. Pediatrics, 96: 1137-1142, 1995.         [ Links ]

21. WALDVOGEL, K.; REGNERY, R.L.; ANDERSON, B.E. et al. - Disseminated Cat-Scratch Disease: detection of Rochalimaea henselae in affected tissue. Europ. J. Pediat., 153: 23-27, 1994.         [ Links ]

22. WHITMAN, B.W. & KRAFTE-JACOBS, B. - Cat-Scratch Disease associated with pleural effusions and encephalopathy in a child. Respiration, 62: 171-173, 1995.         [ Links ]



Correspondence to:
Dr. Carlos Alberto Yamashita
Pediatric Division of the University Hospital
Av. Prof. Lineu Prestes 2565
Cidade Universitária, 05508-900 São Paulo, SP, Brasil

Recebido para publicação em 06/09/1996
Aceito para publicação em 03/12/1996

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License