Miv-kos kab mob

Kab mob Cat-scratch yog ib qho mob nrog cov kab mob bartonella uas ntseeg tias kis tau los ntawm miv khawb, miv tom, lossis dev mub tom.

Kab mob viav vias yog tshwm sim los ntawm cov kab mobBartonella henselaeCov. Tus kabmob kis tau los ntawm kev sib chwv nrog ib tus miv uas muaj tus kabmob (tom lossis khawb) lossis raug rau cov dev mub. Nws kuj tseem tuaj yeem kis tau los ntawm kev sib chwv nrog qaub ncaug rau ntawm daim tawv nqaij tawg lossis cov tawv nqaij xws li cov hauv qhov ntswg, qhov ncauj thiab qhov muag

Tus neeg uas tau kov tus miv muaj tus mob no yuav pom muaj cov tsos mob tshwm sim, suav nrog:

• Pob (papule) lossis hlwv (pustule) ntawm qhov chaw raug mob (feem ntau yog thawj daim paib)
• Nkees
• Ua npaws (hauv qee cov neeg)
• Mob taub hau
• Lymph node o (lymphadenopathy) nyob ze rau ntawm qhov chaw khawb lossis tom
• Zuag qhia tag nrho tsis xis nyob (malaise)

Cov tsos mob uas tsis tshua pom muaj xws li:

• Tsis qab los noj mov
• Mob caj pas
• Lub cev yuag

Yog tias koj muaj cov qog ntshav o tuaj thiab kos los yog tom los ntawm miv, koj tus kws kho mob yuav xav tias muaj kab mob miv.

Txoj kev kuaj mob rau lub cev yuav qhia tau tias tus po muaj hnoos qeev thiab.

Qee zaum, cov qog ntshav ntawm lub ntsej muag tuaj yeem tsim lub qhov ntswg (fistula) los ntawm daim tawv nqaij thiab ntws (kua dej tawm).

Tus kab mob no feem ntau tsis pom vim nws nyuaj rau kev txheeb xyuas. Tus Bartonella henselaeimmunofluorescence assay (IFA) kev kuaj ntshav yog ib txoj kev tseeb los tshawb txog tus mob kis los ntawm cov kab mob no. Cov txiaj ntsig ntawm kev ntsuas no yuav tsum tau muab xam nrog rau lwm cov ntaub ntawv los ntawm koj li keeb kwm kev kho mob, kuaj ntshav, lossis kuaj xyoob.

Kuj yuav ua ib qho kev kuaj qog ntshav mus kuaj xyuas lwm yam ua rau muaj cov qog ntshav o tuaj.

Feem ntau, kab mob miv-puav kuj tsis yog ib qho hnyav. Tsis tas siv tshuaj kho mob. Muaj qee kis, kev kho mob nrog tshuaj tua kab mob xws li azithromycin tuaj yeem pab tau. Lwm yam tshuaj tua kab mob tuaj yeem siv, suav nrog clarithromycin, rifampin, trimethoprim-sulfamethoxazole, lossis ciprofloxacin.

Hauv cov neeg muaj mob HIV / AIDS thiab lwm tus neeg, uas muaj lub cev tsis muaj zog tiv thaiv kab mob, kis kab mob miv yog qhov hnyav dua. Kev kho nrog tshuaj tua kab mob yog pom zoo.

Cov tib neeg muaj lub cev noj qab nyob zoo yuav tsum rov ua tiav yam tsis tau kho dua. Hauv cov neeg muaj lub cev tsis muaj zog, kev kho mob nrog tshuaj tua kab mob feem ntau ua rau rov qab los.

Cov neeg uas lub nruab nrog cev tsis muaj zog tiv thaiv kab mob tej zaum yuav tshwm sim xws li:

• Encephalopathy (poob rau lub hlwb khiav haujlwm)
• Neuroretinitis (mob rau ntawm retina thiab optic hlab ntsha ntawm lub qhov muag)
• Osteomyelitis (mob pob txha)
• Parinaud syndrome (liab, khaus, thiab mob qhov muag)

Hu rau koj tus kws kho mob yog tias koj muaj qhov txhab loj thiab koj tau raug miv.

Txhawm rau tiv thaiv kab mob miv kos:

• Ntxuav koj txhais tes kom huv nrog xab npum thiab dej tom qab ua si nrog koj tus miv. Tshwj xeeb ntxuav ib qho tom los yog khawb.
• Maj mam ua si nrog miv kom lawv tsis txhob khawb thiab tom.
• Tsis txhob pub miv mus yaim koj cov tawv nqaij, qhov muag, qhov ncauj, lossis qhib qhov txhab lossis khawb.
• Siv cov kev tswj xyuas dev mub kom txo qis kev phom sij koj tus miv nthuav dav tus kab mob.
• Tsis txhob siv cov miv miv.

CSD; Miv-ncoo ua npaws; Bartonellosis

• Kab mob khawb
• Tshuaj tua kabmob

Rolain JM, Raoult D. Bartonella kis tau tus mob. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 299.

Rose SR, Koehler JE. Bartonella, suav nrog tus kabmob miv. Hauv: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, thiab Bennett's Cov Ntsiab Cai thiab Kev Coj Ua ntawm Kab Mob KisCov. 9le ed. Philadelphia, PA: Elsevier; 2020: cha 234.