Isifo se-Cat-scratch

Isifo seCat-scratch yisifo esinawo amagciwane e-bartonella okukholelwa ukuthi adluliswa ukuklwebheka kwekati, ukulunywa ikati noma ukulunywa ngamazeze.

Isifo se-Cat-scratch sibangelwa amagciwaneUBartonella henselae. Lesi sifo sisakazeka ngokuxhumana nekati elinegciwane (ukulunywa noma ukuklwebheka) noma ukuvezwa kwamazeze ekati. Kungasatshalaliswa ngokuxhumana namathe amakati esikhunjeni esiphukile noma ezindaweni ezinama-mucosal njengalezo ezisemakhaleni, emlonyeni nasemehlweni.

Umuntu oxhumane nekati elinegciwane angakhombisa izimpawu ezivamile, kufaka phakathi:

• I-bump (papule) noma i-blister (pustule) endaweni yokulimala (imvamisa uphawu lokuqala)
• Ukukhathala
• Umkhuhlane (kwabanye abantu)
• Ubuhlungu bekhanda
• Ukuvuvukala kwe-lymph node (lymphadenopathy) eduze kwesiza sokuklwebha noma sokuluma
• Ukungakhululeki okuphelele (malaise)

Izimpawu ezingavamile kakhulu zingafaka:

• Ukuphelelwa isifiso sokudla
• Umphimbo obuhlungu
• Ukwehla kwesisindo

Uma une-lymph node evuvukile kanye nokuklwebheka noma ukulunywa ikati, umhlinzeki wakho wezokunakekelwa kwempilo angase asole isifo se-cat-scratch.

Ukuhlolwa komzimba nakho kungaveza ubende obukhulisiwe.

Kwesinye isikhathi, i-lymph node ethelelekile ingakha umhubhe (i-fistula) ngesikhumba bese idonsa (uketshezi oluvuza).

Lesi sifo kaningi asitholakali ngoba kunzima ukusithola. I- UBartonella henselaeukuhlolwa kwegazi kwe-immunofluorescence (IFA) kuyindlela enembile yokuthola ukutheleleka okubangelwa yilawa magciwane. Imiphumela yalolu vivinyo kufanele ibhekwe kanye neminye imininingwane evela kumlando wakho wezokwelapha, izivivinyo zebhu, noma i-biopsy.

I-lymph node biopsy nayo ingenziwa ukubheka ezinye izimbangela zezindlala ezivuvukele.

Ngokuvamile, isifo se-cat-scratch asibi kakhulu. Ukwelashwa kungenzeka kungadingeki. Kwezinye izimo, ukwelashwa ngama-antibiotic afana ne-azithromycin kungasiza. Kungasetshenziswa amanye ama-antibiotic, afaka i-clarithromycin, i-rifampin, i-trimethoprim-sulfamethoxazole, noma i-ciprofloxacin.

Kubantu abane-HIV / AIDS nabanye, abanamasosha omzimba abuthakathaka, isifo se-cat-scratch sibi kakhulu. Ukwelashwa ngama-antibiotics kunconywa.

Abantu abanamasosha omzimba aphilile kufanele balulame ngokuphelele ngaphandle kokwelashwa. Kubantu abanamasosha omzimba abuthakathaka, ukwelashwa ngama-antibiotic kuvame ukuholela ekululameni.

Abantu amasosha abo omzimba abuthakathaka angaba nezinkinga ezinjengalezi:

• I-Encephalopathy (ukulahleka kobuchopho)
• I-Neuroretinitis (ukuvuvukala kwe-retina kanye ne-optic nerve yeso)
• I-Osteomyelitis (ukutheleleka kwethambo)
• I-Parinaud syndrome (iso elibomvu, elicasukile nelibuhlungu)

Shayela umhlinzeki wakho uma ukhulise ama-lymph node futhi uvulelwe ikati.

Ukuvimbela isifo se-cat-scratch:

• Geza izandla zakho kahle ngensipho namanzi ngemuva kokudlala nekati lakho. Hlanza ikakhulukazi noma yikuphi ukulunywa noma ukuklwebheka.
• Dlala kamnandi namakati ukuze angaklwi futhi angaluma.
• Ungavumeli ikati likhothe isikhumba sakho, amehlo, umlomo, noma amanxeba avulekile noma ukuklwebheka.
• Sebenzisa izinyathelo zokulawula ukwanda ukwehlisa ubungozi ikati lakho eliveza lesi sifo.
• Ungaphathi amakati e-feral.

CSD; Umkhuhlane wekati; Bartonellosis

• Isifo sokuklwebha ikati
• Amasosha omzimba

I-Rolain JM, uRaoult D. UBartonella izifo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 299.

URose SR, uKoehler JE. UBartonella, kufaka phakathi isifo se-cat-scratch. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 234.