Abstract
Bartonelloses are a group of human diseases caused by gram-negative, aerobic, facultative intracellular bacteria, which only grow in the presence of blood or erythrocyte cleavage products. The diseases are characterized with multiple forms of clinical manifestations due to by systemic damage to internal organs. The clinical case presented by the authors demonstrates the difficulties of the bartonellosis diagnosis in children. The purpose of the demonstration is making aware of the problem of bartonellosis not only specialists in infectious diseases, but also pediatricians. It should be kept in mind that any atypical manifestation of the disease is the reason to rule out infectious pathology. In view of high prevalence of Bartonella among both domestic and wild animals, general immunodeficiency of the population, an increase in the number of HIV-infected patients, an unfavourable environmental and migration situation, the problem of Bartonellosis acquires great social importance for the population of Russia.
Highlights
Bartonelloses are a group of human diseases caused by gram-negative, aerobic, facultative intracellular bacteria, which only grow in the presence of blood or erythrocyte cleavage products
The diseases are characterized with multiple forms of clinical manifestations due to by systemic damage to internal organs
The clinical case presented by the authors demonstrates the difficulties of the bartonellosis diagnosis in children
Summary
Bartonelloses are a group of human diseases caused by gram-negative, aerobic, facultative intracellular bacteria, which only grow in the presence of blood or erythrocyte cleavage products. Ключевые слова: дети, Bartonella, болезнь кошачьих царапин, лимфаденит, эндокардит, дифференциальный диагноз. По клинической симптоматике можно выделить типичные формы (около 90%), проявляющиеся первичным аффектом и регионарным лимфаденитом, и атипичные формы, которые включают: а) глазные формы; б) поражение ЦНС; в) поражение прочих органов (проявления генерализованной формы – эндокардит, миокардит, хроническая бактериемия, артрит, бациллярный ангиоматоз, гепатит, гломерулонефрит, остеомиелит); г) болезнь кошачьих царапин у ВИЧинфицированных.
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