Schlossberg D, Morad Y, Krouse T B, Wear D J, English C K, Littman M
Department of Medicine, Episcopal Hospital, Philadelphia, PA 19125.
Arch Intern Med. 1989 Jun;149(6):1437-9.
A male homosexual (positive for the human immunodeficiency virus) with a recent cat scratch developed fever, epitrochlear and axillary lymphadenopathy, and retinitis. Subsequently, he developed skin (epitheloid hemangioma) and mucosal lesions (Kaposi's sarcoma), multiple liver abscesses, and pleural effusion. Warthin-Starry stains and/or electron micrographs of lymph nodes and skin lesions demonstrated bacilli characteristic of those associated with cat-scratch disease. Cultures of lymph node, pleural fluid, and liver abscess specimens yielded organisms believed to be the causative agent of cat-scratch disease. We believe that disseminated cat-scratch disease may become an indicator of opportunistic infection signaling acquired immunodeficiency syndrome in a patient who is positive for the human immunodeficiency virus.
一名感染人类免疫缺陷病毒的男性同性恋者近期被猫抓伤后，出现发热、滑车上及腋窝淋巴结病和视网膜炎。随后，他又出现了皮肤病变（上皮样血管瘤）和黏膜病变（卡波西肉瘤）、多发性肝脓肿及胸腔积液。对淋巴结和皮肤病变进行的Warthin-Starry染色和/或电子显微镜检查显示出与猫抓病相关的典型杆菌。淋巴结、胸腔积液和肝脓肿标本培养出的微生物被认为是猫抓病的病原体。我们认为，播散性猫抓病可能成为人类免疫缺陷病毒阳性患者发生机会性感染并提示获得性免疫缺陷综合征的一个指标。
