Atypical Manifestations of Cat-Scratch Disease, United States, 2005-2014

被引:51
|
作者
Nawrocki, Courtney C. [1 ,2 ]
Max, Ryan J. [1 ,2 ,4 ]
Marzec, Natalie S. [3 ,5 ]
Nelson, Christina A. [2 ]
机构
[1] Oak Ridge Inst Sci & Educ, Oak Ridge, TN USA
[2] Ctr Dis Control & Prevent, 3156 Rampart Rd, Ft Collins, CO 80521 USA
[3] Univ Colorado, Aurora, CO USA
[4] Univ N Carolina, Chapel Hill, NC 27515 USA
[5] Colorado Dept Publ Hlth & Environm, Denver, CO USA
关键词
BARTONELLA-HENSELAE; PET CATS; ENDOCARDITIS; INFECTIONS; PREVALENCE; ANTIBODIES; SPECTRUM; CHILDREN; REGIONS;
D O I
10.3201/eid2607.200034
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Atypical manifestations that can be severe and difficult to diagnosis develop in 5%-20% of patients with catscratch disease. To clarify the epidemiology of atypical cat-scratch disease in the United States, we analyzed data from the 2005-2014 MarketScan national health insurance claims databases by using the International Classification of Diseases, 9th Revision, Clinical Modification, codes for cat-scratch disease and selected atypical manifestations: retinitis/neuroretinitis, conjunctivitis, neuritis, encephalitis, hepatosplenic disease, osteomyelitis, erythema nodosum, and endocarditis. Atypical cat-scratch disease accounted for 1.5% of all cases, resulting in an average annual incidence of 0.7 cases/100,000 population. Atypical cat-scratch disease was associated with increased risk for hospitalization (risk ratios 8.77, 95% CI 6.56-11.72) and occurred most often in female patients 10-14 years of age. Ocular (48.7%), hepatosplenic (24.6%), and neurologic (13.8%) manifestations were most common among patients. A more comprehensive understanding of atypical cat-scratch disease can improve patient diagnosis and potentially elucidate pathophysiology of the disease.
引用
收藏
页码:1438 / 1446
页数:9
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