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
Artigo
em Espanhol
| LILACS
| ID: lil-439914
Biblioteca responsável:
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.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Doença da Arranhadura de Gato
/
Bartonella henselae
/
Febre
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
Limite:
Animais
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2006
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Pontificia Universidad Católica de Chile/CL