Enfermedad por arañazo de gato: Características clínicas y de laboratorio en pacientes adultos hospitalizados por fiebre o adenopatías / Cat-scratch disease: Review of eight adult patients hospitalized for fever or adenopathy
Rev. méd. Chile
; 134(10): 1243-1248, oct. 2006. tab
Article
de Es
| LILACS
| ID: lil-439914
Bibliothèque responsable:
BR1.1
ABSTRACT
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 andmethods:
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 1256, 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.
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Maladie des griffes du chat
/
Bartonella henselae
/
Fièvre
Type d'étude:
Diagnostic_studies
/
Observational_studies
Limites du sujet:
Animals
/
Female
/
Humans
/
Male
langue:
Es
Texte intégral:
Rev. méd. Chile
Thème du journal:
MEDICINA
Année:
2006
Type:
Article