Kamstra J I, van der Meij E H, de Visscher J G A M
Ned Tijdschr Tandheelkd. 2021 Jan;128(1):21-27. doi: 10.5177/ntvt.2021.01.20049.
Cat scratch disease is a usually harmless infectious disease caused by Bartonella henselae bacteria. These bacteria are transmitted to humans by a cat scratch or bite. Its typical presentation is a self-limiting lymphadenitis of regional lymph nodes, mostly in the neck. The disease is especially prevalent in children and young adults. Cat scratch disease can be associated with fever, headaches, and malaise, sometimes present itself atypically and in only a few cases expand as a disseminated disease. A swelling in the neck can be caused by many different disorders. In patients with lymphadenitis in the neck and a cat scratch or bite in their recent history, the probable diagnosis cat scratch disease can be made on the basis of clinical findings. Diagnostic testing should be performed when required. For patients with a typical manifestation of cat scratch disease, a wait-and-see policy can be considered. For patients with atypical manifestations, further diagnostic testing and treatment with antibiotics are recommended.
猫抓病是一种通常无害的传染病，由汉赛巴尔通体细菌引起。这些细菌通过猫的抓挠或咬伤传播给人类。其典型表现为局部淋巴结的自限性淋巴结炎，主要发生在颈部。该疾病在儿童和年轻人中尤为常见。猫抓病可能伴有发热、头痛和不适，有时表现不典型，仅在少数情况下会发展为播散性疾病。颈部肿胀可能由许多不同的病症引起。对于近期有猫抓或咬伤史且颈部出现淋巴结炎的患者，可根据临床症状做出猫抓病的可能诊断。必要时应进行诊断性检测。对于猫抓病典型表现的患者，可以考虑采取观察等待的策略。对于表现不典型的患者，建议进一步进行诊断性检测并使用抗生素治疗。
