<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Cat scratch disease (CSD) is the main clinical manifestation caused by Bartonella henselae in immuno-competent patients. The bacterium is transmitted to humans from cats via scratches or bites. In this case report, we are presenting to our knowledge the first etiologically confirmed case of CSD in our country. Here we describe the case of a previously healthy adult female patient presenting with fever and axillar lymphadenopathy over 1-month period. She underwent numerous clinical and paraclinical investigations for potential etiologies associated with lymphadenopathy and fever. Finally, serological testing for B.henselae was performed with titers for IgG 1:1024 and 1:160 for IgM, which confirmed the diagnosis. Five-day treatment with azithromycin resulted with good clinical response and complete recovery. We proved that CSD is a reality in our country and this report should raise awareness in medical doctors, especially infectious disease specialist. Also, CSD should be included in differential diagnosis in patients with fever of unkown origin (FUO), who are presenting with regional lymphadenopathy, with or without history of cat contact.</p></abstract>

Cat scratch disease (CSD) is the main clinical manifestation caused by Bartonella henselae in immuno-competent patients. The bacterium is transmitted to humans from cats via scratches or bites. In this case report, we are presenting to our knowledge the first etiologically confirmed case of CSD in our country. Here we describe the case of a previously healthy adult female patient presenting with fever and axillar lymphadenopathy over 1-month period. She underwent numerous clinical and paraclinical investigations for potential etiologies associated with lymphadenopathy and fever. Finally, serological testing for B.henselae was performed with titers for IgG 1:1024 and 1:160 for IgM, which confirmed the diagnosis. Five-day treatment with azithromycin resulted with good clinical response and complete recovery. We proved that CSD is a reality in our country and this report should raise awareness in medical doctors, especially infectious disease specialist. Also, CSD should be included in differential diagnosis in patients with fever of unkown origin (FUO), who are presenting with regional lymphadenopathy, with or without history of cat contact.

Cat Scratch Disease: The First Case Report in Republic of North Macedonia

University Clinic for Infectious Diseases and Febrile Conditions

Faculty of Medicine “Ss. Cyril and Methodius”

Faculty of Natural Sciences and Mathematics

PRILOZI

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

{"article-title":"Cat Scratch Disease: The First Case Report in Republic of North Macedonia"}

Cat scratch disease (CSD) is the main clinical manifestation caused by Bartonella henselae in immuno-competent patients. The bacterium is transmitted to humans...

Cat Scratch Disease: The First Case Report in Republic of North Macedonia

Publicado en línea: 08 dic 2020

Páginas: 71 - 75

DOI: https://doi.org/10.2478/prilozi-2020-0048

Palabras clave
cat scratch disease, bartonella henselae, lymphadenopathy, fever of unknown origin

© 2020 Kostadin Poposki et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Cat Scratch Disease: The First Case Report in Republic of North Macedonia

Publicado en línea: 08 dic 2020

Páginas: 71 - 75

DOI: https://doi.org/10.2478/prilozi-2020-0048

Palabras clavecat scratch disease, bartonella henselae, lymphadenopathy, fever of unknown origin

© 2020 Kostadin Poposki et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Palabras clave
cat scratch disease, bartonella henselae, lymphadenopathy, fever of unknown origin