Chest-wall abscess due to cat-scratch disease (CSD) in an adult with antibodies to Bartonella clarridgeiae:: Case report and review of the thoracopulmonary manifestations of CSD
Chest-wall abscess due to cat-scratch disease (CSD) in an adult with antibodies to Bartonella clarridgeiae:: Case report and review of the thoracopulmonary manifestations of CSD
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DOI：
10.1086/514671
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发表时间：
1998-08-01
影响因子：
11.8
通讯作者：
Baehren, DF
中科院分区：
文献类型：
--
作者：
Margileth, AM;Baehren, DF
我们描述了一位患者，他在持续3个月的严重衰弱疾病后出现了巨大的胸壁脓肿。用了4周的类固醇治疗，掩盖了广泛腋窝和胸壁脓肿的缓慢发展。经过多次阴性检测，患者的旷日病被诊断为猫抓病(CSD)。间接荧光抗体试验显示，两份恢复期血清标本对克氏巴尔通体的抗体呈阳性，而对其他巴尔通体的检测均为阴性。我们还回顾了英文文献中报道的12例由慢性阻塞性肺疾病引起的严重胸部和肺部疾病。介绍了与CSD相关的胸肺表现、巴尔通体感染的致病机制、诊断标准和CSD的处理。
We describe a patient who presented with a massive chest-wall abscess after a severe debilitating illness that lasted 3 months. Steroid therapy, administered for 4 weeks, masked the slow development of an extensive axillary and chest-wall abscess. After multiple negative tests, the patient's prolonged illness was diagnosed as cat-scratch disease (CSD). An indirect fluorescent antibody test revealed that two convalescent serum samples were positive for IgG to Bartonella clarridgeiae, but no other Bartonella species. We also review 12 cases of severe chest and pulmonary disease due to CSD that were reported in the English-language literature. Thoracopulmonary findings associated with CSD, pathogenic mechanisms of bartonella infections, diagnostic criteria, and management of CSD are presented.