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Professional paper

https://doi.org/10.37797/ig.40.4.7

Mnogobrojna lica bolesti mačjega ogreba – prikaz četiri bolesnika

Samira Knežević ; Clinic for Infectious Diseases, Clinical Hospital Center Rijeka, Croatia
Mari Rončević-Filipović ; Clinic for Infectious Diseases, Clinical Hospital Center Rijeka; Department for Infectious Diseases, School of Medicine University of Rijeka, Croatia
Lari Gorup ; Clinic for Infectious Diseases, Clinical Hospital Center Rijeka, Croatia
Đurđica Cekinović-Grbeša ; Clinic for Infectious Diseases, Clinical Hospital Center Rijeka; Department for Infectious Diseases, School of Medicine University of Rijeka, Croatia
Ivica Pavić ; Clinic for Infectious Diseases, Clinical Hospital Center Rijeka; Department for Infectious Diseases, School of Medicine University of Rijeka, Croatia
Biserka Trošelj Vukić ; Clinic for Infectious Diseases, Clinical Hospital Center Rijeka; Department for Infectious Diseases, School of Medicine University of Rijeka, Croatia
Irena Slavuljica ; Clinic for Infectious Diseases, Clinical Hospital Center Rijeka; Department for Infectious Diseases, School of Medicine University of Rijeka, Croatia


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Abstract

Bolest mačjeg ogreba (BMO) infekcija je uzrokovana Gram negativnom, fakultativno intracelularnom bakterijom Bartonella henselae. Glavni rezervoar infekcije je mačka i oko 75% bolesnika ima podatak o ogrebu ili ugrizu mačke u anamnezi. Rjeđe se infekcija javlja u kontaktu s psom, posredovano mačjom buhom ili neizravnim kontaktom oštećene kože ili sluznice s površinom kontaminiranom mačjom slinom. Infekcija može proći asimptomatski, ali se i prezentirati spektrom kliničkih manifestacija. U 85-90 % bolesnika radi se o klasičnoj BMO s kožnom lezijom i samoograničavajućim, regionalnim limfadenitisom dok ostale, rjeđe kliničke manifestacije, mogu zahvatiti gotovo svaki organ i organski sustav. Prikazujemo četiri bolesnika s BMO liječenih u Klinici za infektivne bolesti Kliničkog bolničkog centra Rijeka te raspravljamo o dijagnostičkim i terapijskim izazovima ove bolesti.

Keywords

bolest mačjeg ogreba; limfadenitis; liječenje

Hrčak ID:

254025

URI

https://hrcak.srce.hr/254025

Publication date:

18.3.2021.

Article data in other languages: english

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