Year: 2020
Type: Article
Title: Cat Scratch Disease: The First Case Report in Republic of North Macedonia
Author: Poposki, Kostadin
Author: Sopova, Zaklina
Author: Dimzova, Marija
Author: Denkovska, Elena
Author: Stoleska, Tatjana
Author: Bosilkovski, Mile
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.
Publisher: Македонска академија на науките и уметностите, Одделение за медицински науки = Macedonian Academy of Sciences and Arts, Section of Medical Sciences/ Sciendo
Relation: Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)
Identifier: oai:repository.ukim.mk:20.500.12188/24592
Identifier: http://hdl.handle.net/20.500.12188/24592Identifier: 10.2478/prilozi-2020-0048
Identifier: https://content.sciendo.com/view/journals/prilozi/41/3/article-p71.xmlIdentifier: https://www.sciendo.com/pdf/10.2478/prilozi-2020-0048Identifier: 41
Identifier: 3
