Margileth A M
University of Virginia Health Care Center, Department of Pediatrics, Charlottesville.
Semin Vet Med Surg Small Anim. 1991 Aug;6(3):199-202.
Cat scratch disease is a relatively common cause of localized lymphadenopathy with about 80% of cases occurring in children. This self-limited infection is caused by a small pleomorphic gram-negative bacillus that has been identified in ocular granulomas, skin and lymph node specimens. Unusual manifestations of the disease, such as the oculoglandular disease of Parinaud, encephalopathy, or severe systemic disease, occur in about 12% of patients. Management consists of symptomatic treatment, occasionally aspiration of a node or selected antibiotic therapy in moderate to severely ill patients. Persistence of adenopathy for several months in a generally healthy patient with gradual, spontaneous resolution of the enlarged node is the natural course.
猫抓病是局限性淋巴结病相对常见的病因，约80%的病例发生于儿童。这种自限性感染由一种小型多形性革兰氏阴性杆菌引起，该杆菌已在眼部肉芽肿、皮肤和淋巴结标本中被鉴定出来。该病的不寻常表现，如帕里诺眼腺综合征、脑病或严重的全身性疾病，约12%的患者会出现。治疗包括对症治疗，中度至重度患者偶尔可进行淋巴结抽吸或选用抗生素治疗。一般健康的患者淋巴结肿大持续数月，肿大的淋巴结逐渐自发消退是其自然病程。
