Author/Editor		Gorjanc, Matija; Žajdela, Zvone
Title		Subakutni submandibularni limfadenitis pri bolezni mačje opraskanine (CSD): ali je diagnostična incizijska biopsija upravičena?
Translated title		Subaute submandibular lymphadenitis in cat-scratch disease (CSD): is diagnostic incisional biopsy necessary?
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 67, št. 11
Publication year		1998
Volume		str. 633-5
Language		slo
Abstract		Backround. Cat-scratch disease is one of the commonst infectious causes of subacute submandibular lymphadenitis. In contrast to epidemiological data the disease very often seems to be unrecognized, misdiagnosed and mistreated. Although its regularly indolent and sef-limited natural course this could bring additional and unnecesary burden of invasive, long-lasting, and not at least more expensive diagnostic procedures to the patient. Counclusions. Serological diagnostic means an important noninvasive supplement to other diagnostic possibilities in cat scratch disease that could save the patient from invasive diagnostic incisional biopsy. Incision and drainage seems to be necessary if there is colliquation of nodes.
Summary		Izhodišča. Bolezen mačje opraskanine je eden najpogostejših infekcijskih vzrokov subakutnega submandibularnega limfadenitisa. Epidemiološkim podatkom navkljub ostaja bolezen vse prepogosto neprepoznana, neustrezno diagnosticirana in zdravljena, kar ne glede na njen praviloma ugoden in časovno omejen naravni potek lahko pomeni nepotrebno obremenitev bolnika z invazivnimi, dogotrajnejšimi in ne nazadnje dražjimi diagnostičnimi postopki. Zaključki. Serološka diagnostika pomeni pomembno neinvazivno dopolnitev diagnostičnih možnosti pri bolezni mačje opraskanine, ki lahko bolniku prihrani invazivno diagnostično incizijsko biopsijo. Drenažna incizija ostaja smiselna terapija v primeru kolikvacije prizadetih bezgavk.
Descriptors		CAT-SCRATCH DISEASE LYMPHADENITIS BARTONELLA HENSELAE CHILD BIOPSY SERODIAGNOSIS