Article ; Online: Twee patiënten met kattenkrabziekte.
Nederlands tijdschrift voor geneeskunde
2023 Volume 167
Abstract: Background: Cat scratch disease (CSD) is caused by Bartonella henselae infection. CSD is usually characterized by self-limiting regional lymphadenopathy. However, sometimes CSD presents as a disseminated disease with multiple organ involvement.: Case ... ...
| Title translation | Two patients with cat scratch disease. | |||||
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| Abstract | Background: Cat scratch disease (CSD) is caused by Bartonella henselae infection. CSD is usually characterized by self-limiting regional lymphadenopathy. However, sometimes CSD presents as a disseminated disease with multiple organ involvement. Case descriptions: We describe two patients with CSD. Patient A, an 18-year old woman, was referred because of fatigue, a subfebrile temperature and axillary lymphadenopathy. Patient B, a 50-year old man, visited the emergency ward with fever, back pain and painful inguinal lymphadenopathy. MRI showed osteitis of vertebrae and hepatic abcesses. In both patients symptoms started after being scratched by a cat and both were tested positive for infection with Bartonella henselae. Patient B was treated with antibiotics. Both patients made a full recovery. Conclusion: Recent contact with a cat in a patient with unexplained fever and lymphadenopathy raises the possibility of CSD. Diagnosis can be confirmed by serologic testing, histopathology or PCR. Antimicrobial treatment must be considered in all cases. |
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| MeSH term(s) | Humans ; Cat-Scratch Disease/complications ; Cat-Scratch Disease/diagnosis ; Cat-Scratch Disease/drug therapy ; Bartonella henselae ; Anti-Bacterial Agents/therapeutic use ; Lymphadenopathy/diagnosis ; Lymphadenopathy/etiology ; Liver | |||||
| Chemical Substances | Anti-Bacterial Agents | |||||
| Language | Dutch | |||||
| Publishing date | 2023-03-08 | |||||
| Publishing country | Netherlands | |||||
| Document type | Case Reports ; English Abstract ; Journal Article | |||||
| ZDB-ID | 82073-8 | |||||
| ISSN | 1876-8784 ; 0028-2162 | |||||
| ISSN (online) | 1876-8784 | |||||
| ISSN | 0028-2162 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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