Ptosis, miosis and cats

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...

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Bibliographic Details
Published in:BMJ case reports 2017-08, Vol.2017, p.bcr-2017-219673
Main Authors: Espí­rito Santo, Rita, Salgado, Catarina, Prata, Filipa, Mouzinho, Ana
Format: Article
Language:English
Subjects:
Acids
Animals
Anti-Bacterial Agents - administration & dosage
Anti-Bacterial Agents - therapeutic use
Antibiotics
Bartonella henselae - isolation & purification
Bartonella Infections - complications
Bartonella Infections - drug therapy
Bartonella Infections - microbiology
Blepharoptosis - diagnosis
Blepharoptosis - etiology
Case reports
Cat-Scratch Disease - blood
Cat-Scratch Disease - diagnosis
Cat-Scratch Disease - drug therapy
Cat-Scratch Disease - microbiology
Cats
Child
Congenital diseases
Ear diseases
Ears & hearing
Emergency Service, Hospital
Europe (West)
Horner Syndrome - blood
Horner Syndrome - diagnosis
Horner Syndrome - drug therapy
Horner Syndrome - microbiology
Humans
Infections
Laboratories
Lymphadenopathy - microbiology
Lymphadenopathy - pathology
Male
Medical imaging
Miosis - diagnosis
Miosis - etiology
Neck - pathology
Neuroblastoma
Pediatrics
Treatment Outcome
Unusual Association of Diseases/Symptoms
White
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Description
Summary: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.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2017-219673