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

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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