PCR法によって診断された猫ひっかき病の1例

DOI 参考文献24件
  • 村山 高章
    大阪大学歯学部附属病院障害者歯科治療部 京都第一赤十字病院歯科口腔外科
  • 小松 麻理
    京都第一赤十字病院歯科口腔外科
  • 村上 旬平
    大阪大学歯学部附属病院障害者歯科治療部
  • 秋山 茂久
    大阪大学歯学部附属病院障害者歯科治療部
  • 森崎 市治郎
    大阪大学歯学部附属病院障害者歯科治療部

書誌事項

タイトル別名
  • Cat Scratch Disease Diagnosed with PCR-Case Report

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A 13-year-old female came to our clinic with a wound in the right infraorbital area and swelling in the right submandibular area that had been present for 1 week. An intraoral examination revealed a normal salivary flow, while the swelling had an inflammatory appearance and was tender under palpation, which suggested the presence of purulence. As it seemed to be originating from a lymph node, a provisional diagnosis of acute purulent lymphadenitis was made.<BR>Surgical drainage and antibiotic therapy (Flomoxef Sodium, Flumarin®, Shionogi, Japan) was performed, however,2 days later the lymph node remained swollen. At this occasion, the patient reported that some days earlier, her brother had visited another hospital due to a swelling on his left arm. Thus, cat scratch disease (CSD), a very common type of zoonosis, was suspected.<BR>After further confirmation of the circumstances, the antibiotic therapy was changed to minocycline (Minomycin®, Wyeth Lederie Japan, Japan) and a PCR assay of the pus obtained from the swelling showed the presence of Bartonella henselae, the etiologic agent of CSD.<BR>In the present case, implementation of a PCR examination allowed a prompt diagnosis of CSD, and eliminated the need for more extensive diagnostic and therapeutic procedures.

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