Atypical form of cat scratch disease in immunocompetent patient

Kojič, Miroslav; Mikić, Dragan; Nozic, Darko; Zolotarevski, Lidija

doi:10.2298/vsp1301072k

Cited by 6 publications

(3 citation statements)

References 24 publications

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“…Instances of CSD presenting with cough6 and tonsillitis7 have also been documented. Furthermore, diverse rash types are reported, with maculopapular rashes like those in the current case occurring in 5%–13% of patients 8…”

Section: Descriptionmentioning

confidence: 49%

Atypical presentation of severe cat scratch disease: suspected from patient history and physical findings

Takeda,

Kobayashi,

Kubotsu

et al. 2024

BMJ Case Rep

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Section: Descriptionmentioning

confidence: 49%

Atypical presentation of severe cat scratch disease: suspected from patient history and physical findings

Takeda,

Kobayashi,

Kubotsu

et al. 2024

BMJ Case Rep

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“…The available literature data for Spain show 781 in-patients in 1997-2015, and for France 493 positive lymph node biopsy specimens over a 10 year period (11,12). Serological studies all over the world show various results, ranging from 3.1% to 61.6% positivity in the general population (13). People become infected after a bite or scratch by an infected animal.…”

Section: Epidemiologymentioning

confidence: 99%

Cat Scratch Disease in Children

Lisičić-Konaković

Šmitran²

2022

CEJP

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The aim of this paper is to provide information on the clinical manifestations, diagnosis and treatments of Bartonella henselae infection in children. Cat scratch disease (CSD) is a zoonosis caused by Bartonela henselae. Cat fleas are responsible for spreading the bacterium among cats. Bacteria can be transmitted to humans from the site of a cat bite or scratch. The typical manifestation of CSD is regional lymphadenopathy with a pustule at the site of inoculation, usually self-limiting. Atypical CSD has a wide range of clinical manifestations (hepatosplenic disease, pulmonary infiltrates, encephalitis, skin or bone involvement, endocarditis), some of which are life-threatening. Atypical presentations mainly occur in immunocompromised children, but have also been described in immunocompetent children.Conclusion − In recent years the number of households with a pet is growing and the number of children visiting a pediatrician with CSD is growing.

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“…Systemic CSD may present in a more disseminated form which usually occurs in immunocompromised children. Atypical presentations which include hepatic and/or splenic lesions, osteomyelitis, discitis, granulomatous conjunctivitis, endocarditis, myocarditis, neuroretinitis, and encephalomeningitis may mimic more serious disorders such as malignancy and could be an important differential diagnostic problem [ 1 , 2 ]. Isolated hepatic lesions of CSD are a rare clinical condition especially in an immunocompetent child.…”

Section: Introductionmentioning

confidence: 99%

Atypical Presentation of Cat-Scratch Disease in an Immunocompetent Child with Serological and Pathological Evidence

Atıcı

Kadayıfçı

Karaaslan

et al. 2014

Case Reports in Pediatrics

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Typical cat-scratch disease (CSD) is characterized by local lymphadenopathy following the scratch or bite from a cat or kitten. An atypical presentation which includes liver and/or spleen lesions is rarely reported in an immunocompetent child. Systemic CSD may mimic more serious disorders like malignancy or tuberculosis. Although a diagnosis is difficult to establish in systemic CSD, an early diagnosis and an appropriate treatment are important to prevent complications. Bartonella henselae is difficult to culture, and culture is not routinely recommended. Clinical, serological, radiological, and pathological findings are used for the diagnosis of CSD. Herein we present a case of systemic CSD presenting with hepatic mass in an immunocompetent child. The differential diagnosis is made by serological and pathological evidence. He was successfully treated with gentamicin (7.5 mg/kg) and rifampin (15 mg/kg) for six weeks.

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Atypical form of cat scratch disease in immunocompetent patient

Abstract: Atypical forms of CSD could be an important differential-diagnostic problem, especially if there is no opportunity for serological confirmation of the disease.

Cited by 6 publications

References 24 publications

Atypical presentation of severe cat scratch disease: suspected from patient history and physical findings

Atypical presentation of severe cat scratch disease: suspected from patient history and physical findings

Cat Scratch Disease in Children

Atypical Presentation of Cat-Scratch Disease in an Immunocompetent Child with Serological and Pathological Evidence

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