Cat scratch disease in children, a five year study in a pediatric tertiary hospital

González, Soledad; Parra, Alejandro Rísquez; Mussini, S.; Buchovsky, Ana; Berberián, Griselda

doi:10.1016/j.ijid.2018.04.4158

Cited by 1 publication

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“…The people generally affected by CSD are children and young adults, having an uncertain incidence and little known even in developed countries [9]. The diagnosis is still complicated.…”

Section: Introductionmentioning

confidence: 99%

Hepatosplenic abscesses in an immunocompetent child with cat-scratch disease from Peru

Pozo

Angulo-Cruzado

Amenero-Vega

et al. 2019

Ann Clin Microbiol Antimicrob

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Background Cat-scratch disease (CSD) is a zoonotic infection caused by Bartonella henselae and B. clarridgeiae . The typical manifestations of CSD include regional lymphadenitis and fever. However, CSD can have a wide variety of clinical manifestations that can lead to incorrect diagnoses and prolonged hospital stays. Case presentation We present a case of a 3-year-old boy admitted to the pediatric service due to prolonged fever and abdominal pain. He received empirical antimicrobial treatment due to suspicion of infection. Abdominal ultrasound showed hepatosplenic abscesses. An IFA detected the presence of IgG antibodies against B. henselae (1:256). Patient was successfully treated with azithromycin and discharged after 7 weeks. Conclusions Hepatosplenic abscesses in CSD are rarely reported, particularly in immunocompetent children, with this, only 36 cases in PubMed, Web of Sciences and Scopus bibliographical databases. High rate of suspicion and serological tests availability are of utmost importance in order to detect it and treat it successfully and promptly.

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“…The people generally affected by CSD are children and young adults, having an uncertain incidence and little known even in developed countries [9]. The diagnosis is still complicated.…”

Section: Introductionmentioning

confidence: 99%