Vega LCA, Orzechowsky RA, Ariza AR, Ponce de León GLA

Language: Spanish
References: 16
Page: 410-413
PDF size: 239.21 Kb.

ABSTRACT

Cat scratch disease (CSD) is an infectious disease caused by B. henselae a gram-negative cocobacillus and the cat is known as the main reservoir. The infection can be acquired after being scratched or bitten by a cat or a dog and is considered the most common cause of chronic benign lymphadenopathy in children and youth. We present a case in a 32 years-old male attended at the Internal Medicine Department of the Hospital Angeles del Pedregal due to axillary lymphadenopathy and fever. Laboratory tests confirmed the diagnosis of infection by B. henselae and was treated with azithromycin with good response. The CSD is unfrequently diagnosed in our country, therefore we need to remember that a common cause of fever and regional lymphadenopathy.

REFERENCES

1. Blanco JR, Raoult D. Enfermedades producidas por Bartonella spp. Enferm Infecc Microbiol Clin 2005;23(5):313-320.

2. Vega CA, Ariza R. Bartonelosis: espectro clínico actual de un viejo patógeno. Med Int Mex 2008;24(3):217-223.

3. Rolain JM, Locatelli C, Chabanne L, Davoust B, et al. Prevalence of Bartonella clarridgeiae and Bartonella henselae in domestic cats from France and detection of the organisms in erythrocytes by immunofluorescence. Clin Diagn Lab Immunol 2004;11(2):423-425.

4. Eymin G, Zapata A, Andrade M, Aizman A y col. Enfermedad por arañazo de gato. Características clínicas y de laboratorio en pacientes adultos hospitalizados por fiebre o adenopatías. Rev Méd Chile 2006;134:1243-1248.

5. Chen HY, Chen LK, Su CT. Computed tomography and magnetic resonance imaging of uncomplicated cat-scratch disease with regional lymphadenitis. Chin J Radiol 2006;31:39-45.

6. Lamps LW, Scott MA. Cat-scratch disease: historic, clinical, and pathologic perspectives. Am J Clin Pathol 2004;121(Supl):71- 80.

7. Palmieri O, Corti M. Enfermedad por arañazo de gato. Enf Emerg 2009;11(3):146-148.

8. González MT, Mosquera C, Heredia P. Enfermedad por arañazo de gato: un nuevo planteamiento diagnóstico. Medifam 2001;11:30-33.

9. Suzumiya J, Ohshima K, Takada T, Kanda M, et al. Prevalence of Bartonella henselae in granulomatous lymphadenitis. J. Clin Exp Hematopathol 2001;41(2):101-106.

10. Cleri DJ, Ricketti AJ, Vernaleo JR. Fever of unknown origin due to zoonoses. Infect Dis Clin North Am 2007;21:963- 996.

11. Chomel B, Boulouis H, Muruyama S, Breitschwerdt E. Bartonella spp. in pets and effect on human health. Emerg Infect Dis 2006;12:389-394.

12. Chung JY, Koo JW, Kim SW, Yoo YS, et al. A case of cat scratch disease confirmed by polymerase chain reaction for Bartonella henselae DNA. Korean J Pediatr 2005;48(7):789- 792.

13. Chomel BB, Boulouis HJ, Breitschwerdt EB. Cat scratch disease and other zoonotic Bartonella infections. J Am Vet Med Assoc 2004;224(8):1270-1279.

14. Margolis B, Kuzu I, Herrmann M, Raible M, et al. Rapid polymerase chain reaction-based confirmation of cat scratch disease and Bartonella henselae infection. Arch Pathol Lab Med 2003;127:706-710.

15. Kempf VA, Krämer F. The role of Bartonella spp. in veterinary and human medicine with special emphasis on pathogenicity mechanisms. EJCAP 2008;18(3):274-279.

16. Bass JW, Freitas BC, Freitas AD, Sisler CL, et al. Prospective randomized double blind placebo-controlled evaluation of azithromycin for treatment of cat-scratch disease. Pediatr Infect Dis J 1998;17:447-452.