Rheumatology Department, Hospital Central do Funchal, Madeira, Portugal; Rheumatology Department, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental, Portugal; Chronic Diseases Research Center (CEDOC), NOVA Medical School.
Rheumatology Department, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal; Chronic Diseases Research Center (CEDOC), NOVA Medical School.
ARP Rheumatol. 2022 Jan-Mar;1(1):98-99.
Cat scratch disease (CSD) is a zoonosis caused by Bartonella henselae, which is usually transmitted to humans through scratches or bites from infected cats. It is primarily a disease of children and adolescents, although it can affect individuals of any age. In approximately 10% of cases, patients can present atypical manifestations that may involve the musculoskeletal system. Herein, we report a case of a healthy 51-year-old man that developed low-grade fever and regional lymphadenopathy, followed by erythema nodosum and oligoarthritis. He had been scratched and bitten by his cat before the onset of symptoms. The diagnosis was confirmed serologically by the presence of high titers of specific IgG antibodies. Bartonella henselae was also detected in the blood of the owner's cat by PCR and DNA sequencing.
猫抓病（CSD）是由巴尔通体引起的一种人畜共患病，通常通过受感染的猫的抓挠或咬伤传播给人类。它主要是儿童和青少年的疾病，尽管任何年龄段的人都可能受到影响。在大约 10%的病例中，患者可能出现不典型表现，可能涉及肌肉骨骼系统。在此，我们报告一例健康的 51 岁男性，他出现低热和局部淋巴结病，随后出现结节性红斑和少关节炎。在症状出现之前，他被自己的猫抓伤和咬伤。该诊断通过存在高滴度特异性 IgG 抗体在血清学上得到确认。PCR 和 DNA 测序也在主人猫的血液中检测到了巴尔通体。
