SEROLOGY TO BARTONELLA (ROCHALIMAEA) HENSELAE MAY REPLACE TRADITIONAL DIAGNOSTIC-CRITERIA FOR CAT-SCRATCH DISEASE

被引:52
作者
NADAL, D [1 ]
ZBINDEN, R [1 ]
机构
[1] UNIV ZURICH,DEPT MED MICROBIOL,CH-8032 ZURICH,SWITZERLAND
关键词
CAT-SCRATCH DISEASE; SEROLOGY; DIAGNOSIS;
D O I
10.1007/BF01957503
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Bartonella (Rochalimaea) henselae has been identified as causative agent of cat-scratch disease (CSD). Employing an indirect fluorescence antibody test we found that 20 (100%) out of 20 children with suspected CSD had serum titres to B. henselae of greater than or equal to 512. By contrast, in all but one of the controls (n = 332) including subjects exposed to the same cats, patients with diseases other than CSD, and blood donors the antibody titres were less than or equal to 256 (P < 0.001), However, significant regional differences in seroprevalence were noted. Conclusion Serology to B. henselae may supplant traditional criteria for the diagnosis of CSD and prevent patients from unnecessary surgery.
引用
收藏
页码:906 / 908
页数:3
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