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2013, vol. 70, br. 1, str. 72-76
Atipična forma bolesti mačjeg ogreba kod imunokompetentne bolesnice
aVojnomedicinska akademija, Klinika za infektivne i tropske bolesti, Beograd
bVojnomedicinska akademija, Klinika za infektivne i tropske bolesti, Beograd + Univerzitet odbrane, Medicinski fakultet Vojnomedicinske akademije, Beograd
cUniverzitet odbrane, Medicinski fakultet Vojnomedicinske akademije, Beograd + Vojnomedicinska akademija, Institut za patologiju i sudsku medicinu, Beograd
Ključne reči: bolest mačje ogrebotine; limfadenitis; dijagnoza; lečenje lekovima; antibiotici; lečenje ishod
Sažetak
Uvod. Bolest mačjeg ogreba (BMO) je akutno infektivno oboljenje benignog toka čiji je izazivač bakterija Bartonella henselae. Klinički, najčešće se ispoljava kao regionalna limfadenopatija uz blag infektivni sindrom. U retke forme bolesti, koje se obično javljaju kod imunokompromitovanih, spadaju encefalitis, transverzalni mijelitis, neuroretinitis, granulomatozni konjunktivitis, artritis, hepatitis i druge. Prikaz bolesnika. U radu je prikazan atipičan oblik BMO kod mlade imunokompetentne osobe ženskog pola. Bolest se ispoljila produženom febrilnošću, ospom, gnojnim limfadenitisom i hepatitisom. Definitivna dijagnoza je postavljena na osnovu karakterističnog patohistološkog nalaza i isključivanjem drugih uzročnika gnojnog limfadenitisa. Lečenje je sprovedeno višenedeljnom primenom antibiotika uz hiruršku inciziju i drenažu gnojnog limfadenitisa. Zaključak. Atipične forme BMO mogu predstavljati značajan diferencijalno-dijagnostički i terapijski problem, posebno kada nema mogućnosti za serološku potvrdu bolesti.
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O članku

jezik rada: engleski
vrsta rada: prikaz slučaja
DOI: 10.2298/VSP1301072K
objavljen u SCIndeksu: 08.01.2013.
metod recenzije: dvostruko anoniman