Ptosis, miosis and cats

BMJ Case Rep. 2017 Aug 24:2017:bcr2017219673. doi: 10.1136/bcr-2017-219673.

Abstract

Horner's syndrome (HS) is caused by a disruption in the oculosympathetic pathway. Both congenital and acquired HS are unusual in children. Acquired HS can be caused by trauma, surgical intervention, tumours, vascular malformations or infection.We describe the case of a 6-year-old boy who was brought to our emergency department with ptosis, miosis, painful cervical lymphadenopathy and a cat scratch on a hand. The diagnosis of a cat scratch disease was confirmed by serology. A full recovery was observed on antibiotic treatment and cervical lymphadenomegaly reduction 3 weeks later.

Keywords: ear; infectious diseases; nose and throat/otolaryngology; paediatrics.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use
  • Bartonella Infections / complications
  • Bartonella Infections / drug therapy
  • Bartonella Infections / microbiology
  • Bartonella henselae / isolation & purification
  • Blepharoptosis / diagnosis*
  • Blepharoptosis / etiology
  • Cat-Scratch Disease / blood*
  • Cat-Scratch Disease / diagnosis
  • Cat-Scratch Disease / drug therapy
  • Cat-Scratch Disease / microbiology
  • Cats
  • Child
  • Emergency Service, Hospital
  • Horner Syndrome / blood*
  • Horner Syndrome / diagnosis
  • Horner Syndrome / drug therapy
  • Horner Syndrome / microbiology
  • Humans
  • Lymphadenopathy / microbiology
  • Lymphadenopathy / pathology
  • Male
  • Miosis / diagnosis*
  • Miosis / etiology
  • Neck / pathology
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents