Disseminated cat-scratch disease: case report and review of the literature

Chih Chen Chang, Chia Jie Lee, Liang Shiou Ou, Chao Jan Wang, Yhu Chering Huang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

18 Scopus citations

Abstract

Cat scratch disease (CSD) can present as a systemic disease in 5–10% of cases and lead to various disease entities. A previously healthy 16-month-old boy presented with fever for 7 days without other obvious symptoms. Abdominal computed tomography scan demonstrated enlarged right inguinal lymph nodes and multiple small round hypodensities in the spleen. Despite antibiotic treatment for 1 week, the fever persisted and the intrasplenic lesions progressed. Inguinal lymph node biopsy confirmed CSD by immunohistochemistry staining. The diagnosis of CSD was also supported by a history of contact, imaging and serological findings. The patient recovered after treatment with azithromycin for a total of 5 weeks and, in serial follow-up, the hepatosplenic micro-abscesses resolved after 4th months.

Original languageEnglish
Pages (from-to)232-234
Number of pages3
JournalPaediatrics and International Child Health
Volume36
Issue number3
DOIs
StatePublished - 02 07 2016

Bibliographical note

Publisher Copyright:
© 2016 Informa UK Limited, trading as Taylor & Francis Group.

Keywords

  • Bartonella henselae
  • Cat scratch disease
  • Immunohistochemistry stain
  • Splenic abscess

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