Author/Editor		Dželalija, Boris; Avšič-Županc, Tatjana; Medić, Alan; Milić, Neven
Title		Neuobičajeni oblik bolesti mačjeg ogreba
Translated title		Unusual form of cat scratch disease
Type		članek
Source		Infektol Glas
Vol. and No.		Letnik 24, št. 2
Publication year		2004
Volume		str. 87-9
Language		cro
Abstract		The authors describe a case of cat-scratch disease (CSD) in a 5-year-old girl, presenting with typical, characteristic symptoms and atypical, very rare, clinical findings of erythema nodosum. Typical symptoms of CSD included papular lesion and regional unilateral submandibular lymphadenitis, as well as history of contact with cat, without scratch marks. Laboratory anaylsis showed normal values in routine blood parameters, except for elevated values of erythrocyte sedimentation rate (SE 48/h) and elevated levels of fibrinogen (5.7 g/L) and Creactive protein (CRP 29 mg/L). Cytological analysis of lymph nodes revealed lymphatic cells, granulocytes, epitheloid cells, multinuclear histiocytes, necrosis, erythrocytes. Indirect immunofluorescence method used for analyis of paired serum samples collected in the second and fifth week, showed IgG antibodies to antigen Bartonella henselae in titre 1:16/1:64. Antibiotic therapy was initiated with co-amoxiclav (125 mg/8h/per os), cefuroxime (600 mg/8h/iv.) and azithromycin (10 mg/kg first day, 5 mg/kg/ second and third day). Although erythema nodosum rarely occurs in the clinical manifestation of cat scratch disease, it should be included in differential diagnostics of those diseases and conditions where erythema nodosum occurrs as a symptom.
Descriptors		CAT-SCRATCH DISEASE ERYTHEMA NODOSUM BARTONELLA HENSELAE CHILD, PRESCHOOL FLUORESCENT ANTIBODY TECHNIQUE, INDIRECT