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Cat-scratch disease. Review of eight adult patients hospitalized for fever or adenopathy. Santiago de Chile. Background: Cat-scratch disease is common among children. Among adults the disease is less often considered in the differential diagnosis of enlarged lymph nodes and fever.
Aim: To report the clinical and laboratory features of eight patients with cat-scratch disease. Material and methods: Review of the medical records of eight patients aged 22 to 57 years, six males with a serological diagnosis of cat-scratch disease an IgG titer over , by immunofluorescence.
Results: Only five patients recalled having had contact with cats. Seven had fever and weight loss. Six had excessive sweating and five had chills. Seven had painfully enlarged lymph nodes mainly in submandibular and axillary regions. All had an increased C reactive protein and six had elevated erythrocyte sedimentation rate. Five had leukocytosis and four an elevated serum lactate dehydrogenase. The disease subsided in all, even in one patient that did not receive antimicrobials.
Conclusions: Cat-scratch disease should be considered in the differential diagnosis of adult patients with lymph adenitis and fever. Key words: Cat-scratch disease; Immunoglobulin G; Lymphadenitis. Fue descrita en en Francia, pero no fue sino hasta que Dolan y cols aislaron B henselae de linfonodos de pacientes afectados 2,3. Del total de pacientes, 6 eran de sexo masculino. Cinco pacientes recordaban haber tenido contacto con gatos.
Es producida con mayor frecuencia por la Bartonella henselae, aunque puede ser producida por otras especies de Bartonella Es raro el compromiso generalizado. Habitualmente se resuelven dentro de cuatro meses Los pacientes con enfermedad localizada, generalmente tienen un curso autolimitado, mientras que los con enfermedad diseminada pueden tener complicaciones mortales. Bacteria in skin at the primary inoculation site. JAMA ; Ann Intern Med ; Fischer GW.
The agent of cat scratch disease. Principles and Practice of Infectious Diseases. New York: Churchill Livingstone Inc. Cat-Scratch disease in Connecticut: Epidemiology, risk factors, and evaluation of a new diagnostic test.
N Engl J Med ; Cat-scratch disease in the United States: an analysis of three national databases. Am J Public Health ; Margileth A. Cat-scratch disease: nonbacterial regional lymphadenitis; The study of patients and a review of the literature. Pediatrics ; Clin Microbiol Rev ; Cat-scratch disease: The rare rol of Afipia felis. J Clin Microbiol ; Schwetschenau E, Kelley DJ.
The adult neck mass. Am Fam Physician ; Cat-scratch disease: Otolaryngologic manifestations and management. Otolaryngol Head Neck Surg ; Carithers HA. Cat-scratch disease: An overview based on a study of patients. Am J Dis Child ; Cat-scratch disease: bacteria in skin at the primary inoculation site. Infect Dis Clin North Am ; 1: Rev Chil Infect ; Antimicrob Agents Chemother ; Prospective randomized double-blind placebo-controlled evaluation of azithromycin for treatment of cat-scratch disease.
Pediatr Infect Dis J ; Antibiotic therapy for cat-scratch disease: Clinical study of therapeutic outcome in patients and a review of the literature. Correspondencia a : Gonzalo Eymin L. Marcoleta , Santiago, Chile. Fax: E mail: geymin med. Recibido el 3 de octubre, Aceptado el 4 de abril, Servicios Personalizados Revista.
Enfermedad por arañazo de gato
Cat-scratch disease. Review of eight adult patients hospitalized for fever or adenopathy. Santiago de Chile. Background: Cat-scratch disease is common among children. Among adults the disease is less often considered in the differential diagnosis of enlarged lymph nodes and fever. Aim: To report the clinical and laboratory features of eight patients with cat-scratch disease.
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Bartonella henselae y Bartonella quintana han sido aisladas en pacientes con EAG, aunque se considera que B. Cicatriz de BCG presente. Ecocardiograma normal. Bazo normal. Fueron interpretadas como granulomas, sugerentes de EAG.