Akut lenfadenit ile gelen bir kedi tırmığı olgusu

Kedi tırmığı hastalığı Bartonella henselae’nin neden olduğu enfeksiyöz bir hastalıktır. Daha çok yavru kedilerden geçmektedir. İmmun sistemi zayıf olan kişilerde sistemik hastalık yapabilmesine karşın çoğu zaman lokal enfeksiyon ve ağrılı lenfadenitle seyretmektedir. Günümüzde tanıda seroloji ve PCR büyük kolaylık sağlamaktadır. Bu hastalık bilinenden daha fazla olabilir. Akla gelmesi tanı ve tedavide kolaylık sağlayacaktır. Ağrılı lenfadeniti olan, amoksisiline yanıt vermeyince yapılan serolojik testte Bartonella henselae antikorlarını tespit ederek tanısını koyduğumuz ve spesifik tedaviye yanıt veren 10 yaşındaki çocuk vakayı sunduk.

Anahtar Kelimeler:

Kedi tırmığı hastalığı, azitromisin, lenfadenit

A case of cat scratch disease with acute lymphadenitis

Cat-scratch disease is an infectious disease caused by Bartonella henselae. It mostly passes through kittens. Although it can cause systemic disease in people with a weak immune system, it usually progresses with local infection and painful lymphadenitis. Today, serology and PCR provide great convenience in diagnosis. This disease may be more than known. Keeping mind will facilitate diagnosis and treatment. We presented a 10-year-old child case with painful lymphadenitis, which we detected by diagnosing Bartonella henselae antibodies in a serological test that did not respond to amoxicillin and responded to specific treatment.

Keywords:

cat-scratch disease, azithromycin, lymphadenitis,

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