Katner H P, Treen B, Pankey G A, Glasgow S, Cortez L M, Dalovisio J
Chest. 1986 Feb;89(2):302-3. doi: 10.1378/chest.89.2.302.
Prior to the discovery of the coccobacillus in the lymph nodes of patients with cat-scratch disease by Wear and associates, the diagnosis was based on clinical findings and a nonstandardized skin test. Atypical cases either remained an enigma or were questioned as to accuracy of diagnosis. We present here a case of cat-scratch disease associated with pleural effusion, anicteric hepatitis, and other systemic manifestations confirmed by identification of the coccobacillus. It is the first association with a pleural effusion. With the Warthin-Starry stain, we anticipate a redefinition of this disease. The confirmation of atypical cases will help broaden the clinical spectrum, as well as guide us to consider this diagnosis where its classic manifestations may be absent.
在韦尔及其同事于猫抓病患者的淋巴结中发现革兰氏阴性短杆菌之前，诊断是基于临床症状和非标准化的皮肤试验。非典型病例要么仍是个谜，要么其诊断准确性受到质疑。我们在此呈现一例与胸腔积液、无黄疸型肝炎及其他全身表现相关的猫抓病病例，通过革兰氏阴性短杆菌的鉴定得以确诊。这是首例与胸腔积液相关的病例。借助沃辛 - 斯塔里染色法，我们预计将对这种疾病进行重新定义。非典型病例的确诊将有助于拓宽临床谱，同时引导我们在缺乏典型表现的情况下考虑这一诊断。
