Cat-scratch disease--Connecticut, 1992-1993.

Cat-scratch disease--Connecticut, 1992-1993.
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猫抓病——康涅狄格州,1992-1993 年。

DOI:
10.1093/infdis/172.2.570
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发表时间:
1995
期刊:
The Journal of infectious diseases
影响因子:
--
通讯作者:
M. Cartter
M. Cartter
中科院分区:
--
文献类型:
--
作者:
Douglas H. Hamilton;K. Zangwill;James L. Hadler;M. Cartter

文献摘要

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建立了一个前瞻性的以人群为基础的监测系统,以描述康涅狄格州居民中猫抓病(CSD)的流行病学特征,这些居民向州卫生部门报告了疑似CSD的诊断。1992年和1993年期间,有246人符合病例定义,全州年平均发病率为3.7/100,000人。CSD患者的中位年龄为14岁(范围1-64岁),52%为女性。10岁以下人群的特定年龄发病率最高(9.3/100 000),并随着年龄的增长而下降。74%的病例患者除腺病外还有其他症状。11%的病人住院治疗。无死亡病例。大多数临床诊断为CSD的患者对巴尔通体属产生了免疫应答。我们的数据表明,虽然CSD主要是一种年轻人的疾病,但年龄谱比通常所认识的要广。
A prospective population-based surveillance system was established to characterize the epidemiology of cat-scratch disease (CSD) among residents of Connecticut who were reported to the state health department with a diagnosis of suspected CSD. During 1992 and 1993, 246 persons met the case definition, for an average statewide annual incidence of 3.7/100,000 persons. The median age of patients with CSD was 14 years (range, 1-64), and 52% were female. The age-specific attack rate was highest among persons < 10 years of age (9.3/100,000) and decreased with increasing age. Symptoms in addition to adenopathy were noted by 74% of case-patients. Eleven percent of all case-patients were hospitalized. There were no deaths. Most patients with clinically diagnosed CSD developed an immunologic response to Bartonella species. Our data suggest that although CSD is primarily a disease of younger persons, the age spectrum is wider than was commonly appreciated.