Champsaur H
Rev Stomatol Chir Maxillofac. 1986;87(1):60-4.
This infection usually results from transmission to humans by the scratch of a cat, but may also follow spine stings or cuts from fresh bones of various animals, this explaining the ubiquity of the causative agent and its resistance to various physical agents. The primary lesion develops in the skin at the inoculation site, to be followed by the appearance of one or several satellite adenopathies, of regional distribution and evolving towards suppuration. Apart from some rare nervous manifestations the prognosis is usually good, but regression of the adenopathy is a slow process. Histology shows tumefaction of massed reticular cells with central necrosis, leucocyte diapedesis and ultimate abscess formation. Diagnosis is by evidence of allergy to a specific antigen formed of the pus from infected glands after sterilization. The responsibility of a gram-positive bacterium of the genus Rothia has just been demonstrated.
这种感染通常是由猫抓伤传染给人类引起的，但也可能继发于脊柱刺伤或被各种动物的新鲜骨头割伤，这就解释了病原体的广泛存在及其对各种物理因素的抵抗力。原发性损害在接种部位的皮肤出现，随后出现一个或几个卫星腺病，呈区域性分布并发展为化脓。除了一些罕见的神经表现外，预后通常良好，但腺病的消退是一个缓慢的过程。组织学显示聚集的网状细胞肿胀，伴有中央坏死、白细胞渗出和最终脓肿形成。诊断依据是对经消毒的感染腺体脓液形成的特定抗原过敏的证据。罗氏菌属革兰氏阳性细菌的致病性刚刚得到证实。
