Enfermedad por arañazo de gato: Un nuevo planteamiento diagnóstico

Abstract

Cat Scratch Disease (CSD) is usually a self-limited illness associated with tender lymph nodes, fever, malaise, and fatigue. Lymphadenopathy usually resolves spontaneously within three to four months. Systemic manifestations of CSD are less frequent however show a wide spectrum. Microbiological, serological and molecular studies have demonstrated that Bartonella henselae is the etiologic agent in most cases of CSD. Interpretation of the results of serology should be cautious and always related to the clinical and epidemiological picture of the patient but serology provides rapid diagnosis, avoiding multiple and invasive investigations. The consideration of this technique as criteria in the diagnosis of CSD would be possible its extrahospitalary management in most cases. Two cases sum as previous consideration are described.