Pediatr. praxi. 2016;17(4):248-250 | DOI: 10.36290/ped.2016.057

Cardiac function in hypertensive patients with metabolic syndrome and microalbuminuria

MUDr.Jana Stejskalová¹, MUDr.Helena Strmeňová¹, RNDr.Jana Doležílková², RNDr.Andrea Holečková², MUDr.Radoslava Tomanová³, MUDr.Pavel Vantuch⁴

¹ Klinika dětského lékařství, Fakultní nemocnice Ostrava

² Zdravotní ústav se sídlem v Ostravě

³ Ústav patologie, Fakultní nemocnice Ostrava

⁴ Klinika otorinolaryngologie a chirurgie hlavy a krku, Fakultní nemocnice Ostrava

Regional lymfadenitis is a frequent clinical problem in pediatrics. The differential diagnosis is mostly extensive and difficult because

etiology does not always have to be of benign nature. Caution is nessesary in these cases. Cat-Scratch disease (or the Bartonellosis)

is a rare cause of lymfadenopathy, but it is important not to neglect it in case of a subacut disease. As the name itself suggests,

this infection is transmitted by cat scratches or bites. Lymfadenopathy is usually localized in some area of the body, however,

the course of the disease can be protracted and the nodules can change suppuratively. The following case report demonstrates

the typical course of this disease in a 7-year old girl, where a repeated surgical revision was necessary due to a purulent regional

lymfadenitis in the area of the parotid gland.

Keywords: facultative intacellular pathogen, Cat- Scratch disease, regional lymfadenitis, colliquation, epidemiology, diagnosis, therapy

Published: October 1, 2016  Show citation