Department of Orthopedics, The First Affiliated Hospital, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, 310003, People's Republic of China.
The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, 310003, People's Republic of China.
BMC Infect Dis. 2024 Apr 22;24(1):422. doi: 10.1186/s12879-024-09336-7.
Cat scratch disease (CSD) is caused by Bartonella henselae (B. henselae) and presents as lymphadenopathy following close contact with cats. However, in context of the global COVID-19 pandemic, clinical manifestations of CSD may vary, posing new challenges for healthcare professionals. Here we describe a case of a 54-year-old male with painful left upper arm mass, which gradually resolved until he was infected with COVID-19. The mass then rapidly progressed before admission. Meanwhile, pulmonary symptoms including pleural effusion emerged simultaneously. The cause was undetermined with routine blood culture and pathological test until the next generation sequencing (NGS) confirmed the presence of B. henselae. We believe this case is the first to report localized aggravation of CSD after COVID-19 infection and hopefully, offers treatment experience for clinicians worldwide.
猫抓病（CSD）由巴尔通体（Bartonella henselae）引起，与猫密切接触后会出现淋巴结病。然而，在全球 COVID-19 大流行的背景下，CSD 的临床表现可能会有所不同，这给医疗保健专业人员带来了新的挑战。在这里，我们描述了一例 54 岁男性，其左侧上臂出现疼痛性肿块，肿块逐渐消退，直到他感染 COVID-19。入院前肿块迅速进展。同时，出现了包括胸腔积液在内的肺部症状。常规血培养和病理检查未能确定病因，直到下一代测序（NGS）证实存在巴尔通体。我们相信这是首例报告 COVID-19 感染后 CSD 局部加重的病例，希望为全球临床医生提供治疗经验。
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