BACKGROUND: Cat scratch disease (CSD), the most common cause of chronic lymphadenopathy among children and adolescents, typically features regional lymphadenitis associated with inoculation site due to a cat scratch or bite. OBJECTIVE: The aim of this study was to systematically review the articles related to CSD which were reported from Turkey in national and international journals in the last 18 years with a pooled-analysis method. METHODS: The articles related to CSD were retrieved by search of four national (Ulakbim Turkish Medical Literature Databases) and three international databases (Pub-Med, Science Citation Index (SCI) and Google scholar). RESULTS: Between the years 1996-2013, CSD cases have been published in a total of 16 articles (4 international, 12 national). These articles which were presented as a case report included a total of 18 CSD cases (38.8% women, 61.2% men; median age 16 years). The most common clinicopathologic subtypes of CSD are regional lymphadenitis (n=9), hepatosplenic (n=3) and neuroretinitis (n=2). The most common complaints of patients were swelling (94.4%), fever (61.2%) and weakness (50%) at admission. On exam, the most common signs were lymphadenopathy (94.4%), fever (61.2%), splenomegaly (16.6%), and skin eruption (16.6%). CONCLUSION: This pooled analysis which enabled the evaluation of a large number of CSD cases, indicated that careful evaluation of clinical findings and histopathological investigation will provide valuable support for diagnosis and treatment of CSD.
- Klíčová slova
- Turkey, cat scratch disease, lymphadenitis,
- MeSH
- dítě MeSH
- kočky MeSH
- lidé MeSH
- mladiství MeSH
- nemoc z kočičího škrábnutí epidemiologie MeSH
- zvířata MeSH
- Check Tag
- dítě MeSH
- kočky MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- Geografické názvy
- Turecko epidemiologie MeSH
OBJECTIVES: A retrospective evaluation of a group of patients which is focused on clinical picture, serological diagnosis, therapy and familial occurrence of the disease. MATERIAL AND METHODS: Cat scratch disease (CSD) was considered within the scope of a differential diagnosis of lymphadenopathy. Serological diagnosis was based on detection of antibodies against Bartonella henselae by indirect immunofluorescence, where the level of IgG antibodies of at least 1 : 256 or any positive level of IgM antibodies were considered positive for CSD. If a histological examination was conducted, the suspicion of CSD was supported by finding granulomatous inflammation. Macrolides were used for treatment in both children and adults. In addition to macrolides, doxycycline was used in adults. RESULTS: From 2004 to 2013, a total of 27 patients aged 7-73 years were diagnosed with CSD at the Clinic of Infectious Medicine, University Hospital in Ostrava. None of them suffered from immunodeficiency detected earlier. Diagnostic extirpation of a lymph node was performed in 5 patients diagnosed with granulomatous inflammation. Lymph node syndrome was observed in all patients, with cervical, inguinal and axillary nodes being most frequently affected. However, two patients had supraclavicular nodes affected and a 52-year-old woman had unusual swelling of lymphatic tissue in the scapular region with skin lesions. Lymph node syndrome accompanied by encephalopathy was observed in one 50-year-old patient. Positive IgM antibodies were detected in only 8 patients. There were two cases of familial occurrence affecting 2 and 3 family members. Antibiotic therapy with full resolution of clinical findings was successful in 24 patients, including the patient with encephalopathy. In spite of the antibiotic treatment, three patients developed lymph node colliquation requiring surgical intervention. CONCLUSIONS: Atypical lymph node localization in 3 patients, encephalopathy in 1 patient, positive levels of IgM antibodies in 8 only patients, delayed antibodies production in 4 patients and antibiotic therapy coupled with extirpation of colliquated lymph nodes in 3 patients were found in the group of 27 patients.
- MeSH
- dítě MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- lymfatické uzliny mikrobiologie MeSH
- mladiství MeSH
- mladý dospělý MeSH
- nemoc z kočičího škrábnutí * diagnóza epidemiologie imunologie mikrobiologie MeSH
- protilátky bakteriální krev MeSH
- retrospektivní studie MeSH
- senioři MeSH
- zoonózy * MeSH
- zvířata MeSH
- Check Tag
- dítě MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- senioři MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- Názvy látek
- protilátky bakteriální MeSH
