Elisa Nunes Secamilli , Marina Rovani Drummond , Juliana Yumi Massuda Serrano , Rafael Fantelli Stelini , Maria Leticia Cintra , Paulo Eduardo Neves Ferreira Velho
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引用次数: 0
摘要
巴顿氏菌病是由巴顿氏菌引起的疾病,通过吸血节肢动物媒介传播给人类。临床表现包括巴氏杆菌血管瘤病、猫抓病和非典型巴氏杆菌病。我们对发表在 HIV 阴性患者身上的巴顿氏菌病和血液恶性肿瘤病例进行了回顾。所用术语为巴顿氏菌或巴氏血管瘤病和白血病、淋巴瘤、多发性骨髓瘤或癌症。有 15 个病例符合我们的标准。临床表现包括巴氏杆菌性血管瘤病、慢性发热、慢性淋巴结病、骨髓炎、神经视网膜炎、慢性贫血和肝脾肿大。14 名患者在接受抗生素治疗后无症状,1 名患者在抗生素治疗前死亡。临床医生应怀疑免疫力低下的患者是否感染了巴顿氏菌。
Is Bartonella sp. infection relevant in hematological malignancies in HIV-negative patients? A literature review
Bartonelloses are diseases caused by Bartonella sp., transmitted to humans by blood sucking arthropod vectors. Clinical presentations include bacillary angiomatosis, cat scratch disease and atypical forms. We performed a review of cases of bartonelloses and hematological malignancies published in HIV-negative patients. Terms used were Bartonella or Bacillary Angiomatosis and Leukemia, Lymphoma, Multiple Myeloma, or Cancer. Fifteen cases met our criteria. Clinical presentations included bacillary angiomatosis, chronic fever, chronic lymphadenopathy, osteomyelitis, neuroretinitis, chronic anemia and hepatosplenic peliosis. Fourteen patients were asymptomatic after antibiotic therapy, and one died before antibiotic treatment. Clinicians should be suspicious of Bartonella sp. infections in immunocompromised patients.