Lin Sallie, Saccoccio Frances M
Department of Pediatrics, University of Florida, Gainesville, FL, United States.
Division of Pediatric Infectious Diseases, Department of Pediatrics, University of Florida, Gainesville, FL, United States.
IDCases. 2023 Aug 9;33:e01875. doi: 10.1016/j.idcr.2023.e01875. eCollection 2023.
Cat scratch disease (CSD) typically presents as regional lymphadenopathy, following inoculation via scratch, bite, or lick to an open wound by a young cat. Annual prevalence is 22,000 cases in the United States. Although CSD is self-limiting in the majority of cases, CSD can manifest in varying presentations and affect multiple organ systems. Serology testing for antibodies is a practical diagnostic tool but has limitations. Therefore, it is important for medical providers to recognize CSD in its multiple forms, as antibacterials are indicated in certain presentations. The following cases focus on cardiac and ophthalmic manifestations, as well as delayed seroconversion.
猫抓病（CSD）通常表现为局部淋巴结病，常因幼猫通过抓挠、咬伤或舔舐开放性伤口而接种病菌所致。在美国，其年发病率为22000例。尽管大多数情况下猫抓病是自限性的，但它可表现为多种形式并累及多个器官系统。检测抗体的血清学检查是一种实用的诊断工具，但存在局限性。因此，医疗服务提供者认识到猫抓病的多种表现形式很重要，因为在某些表现形式中需要使用抗菌药物。以下病例重点关注心脏和眼部表现以及血清学转换延迟的情况。
