Infezione da Bartonella henselae: caso clinico e supporto diagnostico

  • Salvatore Nisticò | snistico1@virgilio.it
  • Rosa Anna Leone
  • Pasquale Minchella
  • Giuseppe Ivan Potente
  • Maria Teresa Cerminara
  • Caterina Mustaro
  • Bruno Romano
  • Maria Teresa Ruberto
  • Angela Luciano

Abstract

Cat scratch disease is due to a bacterial infection sustained by Bartonella strains, transmitted to the human through the bite, scratch or lick of cats.We report a case about a young man who showed up to the Pediatrics outpatient clinic after he noticed a growing mass in his left armpit, preceded by malaise, fatigue and mild fever. The detection of the scar as a consequence of a cat scratch suggested the Bartonella infection diagnosis. Thus the patient had a blood test, the erythrocyte sedimentation velocity and specific antibodies assay: the measurement of serum Bartonella specific antibodies yelded high levels of IgM and IgG which confirmed the diagnosis.The patient was treated with a course of oral antibiotic, specifically Claritromicin 250 mg tablets BID for two weeks.After 30 days the axillary nodal mass downsized.The serum immunoglobulin assay cut down the time required for the formulation of the causative diagnosis and allowed for a prompt and aimed antimicrobial therapy. Compared with the blood culture, the antibodies test screening is quicker and highly reliable.

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Published
2006-03-31
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Issue
Section
Clinical Cases
Keywords:
Cat scratch disease, Bartonella, test screening
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  • PDF: 849
How to Cite
Nisticò, S., Leone, R., Minchella, P., Potente, G., Cerminara, M., Mustaro, C., Romano, B., Ruberto, M., & Luciano, A. (2006). Infezione da Bartonella henselae: caso clinico e supporto diagnostico. Microbiologia Medica, 21(1). https://doi.org/10.4081/mm.2006.2957

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