A prospective study of cat-scratch disease in Lima-Peru

Revista do Instituto de Medicina Tropical de São Paulo

Erick Huarcaya¹  Ciro MaguiÑa¹  Jenny Merello²  Jaime Cok²  Richard Birtles²  Berónica Infante²  José Vidal²  Afilio Tello²  Palmira Ventosilla² 

[1] ,Universidad Peruana Cayetano Heredia Alberto Hurtado School of Medicine ,Peru

关键词: Cat-scratch disease;    Bartonella;    Emerging diseases;   

DOI  :  10.1590/S0036-46652002000600006

来源: SciELO

【 摘 要 】

Cat-Scratch Disease (CSD) is a benign lymphadenitis that may progress to severe or recurrent forms, and it is occasionally associated with morbidity. Between January of 1998 and March of 1999, forty-three suspected CSD patients were assessed in the Hospital Cayetano Heredia and the Instituto de Salud del Niño, in Lima, Peru. Twelve patients had a confirmed diagnosis, 8 of whom were women, and the mean age was 10 years old. The majority (53%) of the cases were encountered in the summer. All patients reported having had contact with cats. Fever, malaise, lymphadenopathy and skin lesions were the most frequent clinical features. Twelve patients had indirect immunofluorescence antibody test titers of between 1/50 and 1/800 for Bartonella henselae and Bartonella clarridgeiae. Two lymph node biopsies were histologically compatible with CSD. No positive blood cultures could be obtained. This is the first Peruvian prospective study able to identify B. henselae and B. clarridgeiae in pediatric patients.

【 授权许可】

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