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As a Failure to Follow Basic Medical Rules for a Sample, Has a Costly Diagnosis of a Zoonosis.      
Yazarlar
Doç. Dr. Işıl ÖZER
Kafkas Üniversitesi, Türkiye
Özet
Cat-scratch disease can be transmitted from cats and dogs in winter. It is usually self-limited and caused by Bartonella henselae. It may cause serious symptoms, including neurological findings, especially in immune-deficient patients. A female patient was referred to our outpatient clinic at the age of 3 years and 10 months with a preliminary diagnosis of neurodegenerative metabolic disease. Her complaints began after a stray cat scratched her. We found out that the hospital to which she was admitted provided only local wound care due to her history of contact with a cat and that she was vaccinated against rabies. Her body temperature increased, her neck lymph nodes became swollen, and she developed otitis and mastoiditis after 1 month. Additionally, we discovered that she had deteriorated in her walking ability after 6 weeks and developed hand tremors after 10 weeks. It was discovered that previous centers to which the patient applied did not question cat contact. All metabolic tests performed for the differential diagnosis of last admission findings were considered nonspecific. Considering cat-scratch disease due to her clinical history, she was referred to the pediatric infection unit for a Bartonella henselae test, and the test result was 1/256 positive. Failure to follow basic medical rules might be costly in diagnosis and treatment. Cat scratch disease is a zoonosis and a major public health problem. In differential diagnosis, these medical procedures should always be considered before rare metabolic diseases.
Anahtar Kelimeler
Bartonella henselae | Cat-scratch disease | encephalitis | medical overuse | primary immunodeficiency diseases | zoonosis
Makale Türü Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği, araştırma notu, bilirkişi raporu ve benzeri)
Makale Alt Türü SCI, SSCI, AHCI, SCI-Exp dergilerinde yayımlanan teknik not, editöre mektup, tartışma, vaka takdimi ve özet türünden makale
Dergi Adı Clinical medicine insights. Case reports
Dergi ISSN null
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 01-2021
Cilt No 14
Sayfalar 2147483647 /
Doi Numarası 10.1177/11795476211052415
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
As a Failure to Follow Basic Medical Rules for a Sample, Has a Costly Diagnosis of a Zoonosis.

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