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[儿科病房中巴尔通体感染不典型及伴发神经视网膜炎:三例报告]

[Bartonella henselae with atypical infection and neuroretinitis in a pediatric unit: report of three cases].

作者信息

Pérez Regina, Fischman Alexandra, Poblete María José, Vizcaya Cecilia, Perret Cecilia, García Cristián, Muñoz Aldo, Corre Nicole Le

机构信息

Departamento de Enfermedades Infecciosas e Inmunología Pediátrica, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

出版信息

Rev Chilena Infectol. 2020 Aug;37(4):463-469. doi: 10.4067/S0716-10182020000400463.

Abstract

Bartonella henselae is cat scratch disease's etiological agent, which is considered an endemic infection in Chile. It typically presents as a self-limited regional lymphadenopathy and less frequently with systemic involvement and extranodal or atypical manifestations: hepatosplenic, ocular or musculoskeletal involvement, among others. We present three cases of atypical cat scratch disease with ocular compromise, as neurorretinitis. This review highlights the importance of the active search for ocular complications in patients with disseminated cat scratch disease, leading to possible change in treatment and prognosis of the disease.

摘要

亨氏巴尔通体是猫抓病的病原体,在智利被认为是一种地方性感染。它通常表现为自限性局部淋巴结病,较少出现全身受累以及结外或非典型表现,如肝脾、眼部或肌肉骨骼受累等。我们报告了三例伴有眼部损害(即神经视网膜炎)的非典型猫抓病病例。本综述强调了在播散性猫抓病患者中积极寻找眼部并发症的重要性,这可能会导致疾病治疗和预后的改变。

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