Guerrero-Becerra M, de León-Herrera SR, Plascencia-Hernández A, Mercado-Uribe MC, Martínez-Arce P, Luévanos-Velázquez A, Reyes-Hernández KL, Reyes-Gómez U, Quero-Hernández A, López-Cruz G

Language: Spanish
References: 17
Page: 61-69
PDF size: 338.33 Kb.

ABSTRACT

Cat-scratch disease (CSD), represents of 2-10% in children, this is a disease evidenced in contact with cats infected by Bartonella Henselae agent that infects cats by means of fleas “ctenocephalides felis”. It is a gram negative bacillus, slow growing and spread by saliva when biting or scratching. The reports in Mexico of this disease are small and are usually of adults. We present our experience of a series of cases in children, diagnosed in the infectious service of the Civil Hospital of Guadalajara, Mexico. We studied 3 cases, all were male, one preschool and 2 school children, all showed fever and an evolution between 1 and 2 weeks, had lymph nodes in the axillary region, painful, erythema on the lesion, one of them absceded , another tapeworm mobile non-painful supraclavicular mass, one in the axillary region had a multilobed mass, two of them showed submaxillary mass, all with local temperature changes. The Warthin Starry stain was positive in one case, two samples antibodies to B. Henselae positive. All of them had a history of living with cats, there was a good response to antimicrobial treatment with Azithromycin. In children with a regional lymphadenopathy/lymphadenitis sensitive, hot and indurated erythematous in the neck or associated with a cutaneous papule or pustule and with a history of a cat exposure that discards the cat scratch disease, diagnosis solved by serology specific to B. Henselae.

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