Professional paper
https://doi.org/10.37797/ig.40.4.7
The Many Faces of Cat Scratch Disease – A Report of Four Cases
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
Cat scratch disease (CSD) is an infection caused by the Gram negative, facultative intracellular bacteria Bartonella henselae. The main reservoir of the infection is cat and about 75% of the patients have a cat scratch or a bite in anamnesis. Rarely, infection results from exposure to dogs, cat fleas or from contact with cat saliva through broken skin or mucosal surfaces. Infection can be asymptomatic or present with a number of clinical manifestations. In wast majority (85-90%) of the patients CSD presents as a cutaneous lesion and self-limiting, regional lymphadenitis near the site of organism inoculation, other seldom manifestations, however, can include virtually every organ and organ system. We present four patients with CSD treated at the Clinical Hospital Center Rijeka and discuss diagnostic and therapeutic challenges of the CSD.
Keywords
cat scratch disease; lymphadenitis; treatment
Hrčak ID:
254025
URI
Publication date:
18.3.2021.
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