Analysis of data in 30 patients with cat scratch disease without lymphadenopathy
Analysis of data in 30 patients with cat scratch disease without lymphadenopathy
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DOI：
10.1007/s10156-006-0454-y
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发表时间：
2006-08-01
影响因子：
2.2
通讯作者：
Tsukahara, Masato
中科院分区：
文献类型：
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作者：
Tsuneoka, Hidehiro;Tsukahara, Masato
猫抓伤病的主要临床表现是猫抓伤或咬伤部位出现区域性淋巴结病变，伴有发热或一般症状。一项对540名患有淋巴结病、持续发热或养宠物的患者的血清学研究显示，186名血清学诊断为猫抓病的患者中有30名（16.1%）没有区域性淋巴结病，而在这30名患者中，没有淋巴结病与持续发热、不明原因发热或全身性并发症密切相关。医生应警惕与淋巴结病无关的猫抓病，以便及时诊断和治疗。
The prominent clinical manifestation of cat scratch disease is regional lymphadenopathy at the site of the cat scratch or bite, associated with fever or general symptoms. A serological study of 540 patients with either lymphadenopathy, persistent fever, or pet ownership disclosed that 30 (16.1 %) of the 186 patients with a serological diagnosis of cat scratch disease had no regional lymphadenopathy, and in these 30 patients, the absence of lymphadenopathy was closely related to the presence of persistent fever, fever of unknown origin, or systemic complications. Physicians should be alert to cat scratch disease that is not associated with lymphadenopathy to enable prompt diagnosis and treatment.