IS BARTONELLOSIS DIFFICULT TO RECOGNIZE?
DOI:
https://doi.org/10.11603/1681-2727.2024.1.14415Keywords:
bartonellosis, typical and atypical course, diagnosis, treatmentAbstract
SUMMARY. Cases of cat-scratch disease are described, one of which had a typical course with clear anamnestic information about scratching with a cat’s claw, a classic triad of symptoms – primary affect, regional lymphadenitis, and the phenomena of infectious intoxication. Differentiation from other organic causes and appropriate laboratory tests made it possible to establish a diagnosis and successfully treat the patient.
Complications are cases of atypical course of the disease (oculoglandular, neurological or systemic variant), as well as when there are no anamnestic indications of contact with cats and no primary affect. Under such circumstances, given the lack of specificity of lymphadenitis, it is necessary to exclude many reasons for the occurrence of regional enlargement of the lymph node.
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