Bolwetse ba katse

Cat-scratch lefu ke tšoaetso ea baktheria ea bartonella eo ho lumeloang hore e fetisoa ke mengoapo ea katse, ho longoa ke katse kapa ho longoa ke matsetse.

Cat-scratch lefu le bakoa ke baktheriaBartonella henselae. Lefu lena le fetisoa ka ho kopana le katse e nang le tšoaetso (ho longoa kapa ho longoa) kapa ho pepesehela matsetse. E ka hasana ka ho kopana le mathe a katse letlalong le robehileng kapa bokaholimo ba mucosal joalo ka ba ka linkong, molomong le mahlong.

Motho ea kileng a kopana le katse e nang le tšoaetso a ka bonts'a matšoao a tloaelehileng, ho kenyeletsoa:

• Bump (papule) kapa blister (pustule) sebakeng sa kotsi (hangata e le lets'oao la pele)
• Mokhathala
• Feberu (ho batho ba bang)
• Ho opeloa ke hlooho
• Ho ruruha ha lymph node (lymphadenopathy) haufi le sebaka sa ho ngoapa kapa ho loma
• Ho se utloise bohloko ka botlalo (malaise)

Matšoao a sa tloaelehang a ka kenyelletsa:

• Ho felloa ke takatso ea lijo
• Metso o bohloko
• Ho fokotsa boima ba 'mele

Haeba u na le li-lymph node tse ruruhileng le ho longoa kapa ho longoa ke kat, mofani oa hao oa tlhokomelo ea bophelo a ka belaella lefu la katse.

Tlhahlobo ea 'mele e kanna ea senola spleen e holisitsoeng.

Ka linako tse ling, lymph node e nang le tšoaetso e ka theha kotopo (fistula) letlalong ebe e tsoa (mokelikeli o dutlang).

Hangata lefu lena ha le fumanoe hobane ho thata ho le fumana. The Bartonella henselaetlhahlobo ea mali ea immunofluorescence (IFA) ke tsela e nepahetseng ea ho fumana ts'oaetso e bakoang ke libaktheria tsena. Liphetho tsa tlhahlobo ena li lokela ho tsotelloa hammoho le tlhaiso-leseling e ngoe e tsoang nalaneng ea hau ea bongaka, liteko tsa laborateng kapa biopsy.

Lymph node biopsy le eona e ka etsoa ho batla lisosa tse ling tsa litšoelesa tsa ho ruruha.

Ka kakaretso, lefu la katse ha le kotsi. Kalafo ea bongaka e kanna ea se hlokehe. Maemong a mang, kalafo ka lithibela-mafu tse kang azithromycin e ka thusa. Ho ka sebelisoa lithibela-mafu tse ling, ho kenyelletsa clarithromycin, rifampin, trimethoprim-sulfamethoxazole, kapa ciprofloxacin.

Ho batho ba nang le HIV / AIDS le ba bang, ba nang le boits'ireletso ba mmele bo fokolang, lefu la katse le tebile haholo. Kalafo ea lithibela-mafu e khothaletsoa.

Batho ba nang le sesole sa 'mele se phetseng hantle ba lokela ho fola ka botlalo ntle le kalafo. Ho batho ba nang le boits'ireletso ba mmele bo fokolang, kalafo ka lithibela-mafu hangata e lebisa ho hlaphoheloeng.

Batho bao sesole sa 'mele sa bona se fokolang ba ka ba le mathata a kang:

• Encephalopathy (tahlehelo ea ts'ebetso ea boko)
• Neuroretinitis (ho ruruha ha retina le methapo ea mahlo ea leihlo)
• Osteomyelitis (tšoaetso ea masapo)
• Parinaud syndrome (leihlo le khubelu, le halefileng le le bohloko)

Bitsa mofani oa hau haeba u ekelitse lymph node mme u pepesitsoe kat.

Ho thibela mafu a likatse:

• Hlapa matsoho ka botlalo ka sesepa le metsi kamora ho bapala le katse ea hau. Haholo-holo hlatsoa ho longoa kapa mengoapo.
• Bapala ka bonolo le likatse e le hore li se ke tsa ngoapa le ho loma.
• Se ke oa lumella katse hore e nyeke letlalo la hao, mahlo, molomo, kapa maqeba a bulehileng kapa mengoapo.
• Sebelisa mehato ea ho laola matsetse ho theola menyetla eo katse ea hau e bang le eona.
• U se ke ua sebetsana le likatse tsa feral.

CSD; Cat-scratch feberu; Bartonellosis

• Cat lefu mengoapo
• Masole a mmele

Pheta JM, Raoult D. Bartonella tšoaetso. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 299.

Rose SR, Koehler JE. Bartonella, ho kenyelletsa lefu la katse. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 234.