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[Splenic abscess and cat-scratch disease].

L Valdesoiro Navarrete1, V Pineda Solas, C Martín Martín

  • 1Servicio de Pediatría. Hospital de Sabadell. Barcelona. elisenda.valdesoiro@psdf.icnet.es

Anales Espanoles De Pediatria
|October 2, 2001
PubMed
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Cat-scratch disease, caused by Bartonella henselae, can lead to splenic abscesses in rare cases. Prompt antibiotic treatment is crucial for systemic forms of this infection.

Area of Science:

  • Infectious Diseases
  • Microbiology

Background:

  • Cat-scratch disease is typically caused by Bartonella henselae, a Gram-negative bacillus.
  • While usually benign, it can manifest in severe atypical forms, including hepatic and splenic abscesses.

Observation:

  • A 14-year-old female presented with prolonged fever and abdominal pain.
  • Imaging revealed splenic abscesses, prompting suspicion of cat-scratch disease.
  • Serological confirmation followed a history of cat exposure.

Findings:

  • The patient received intramuscular ceftriaxone, resulting in a favorable clinical outcome.
  • Splenic involvement in cat-scratch disease is an infrequent presentation.
  • Cat-scratch disease can present as fever of unknown origin, necessitating its inclusion in differential diagnoses.

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Implications:

  • This case highlights the importance of considering cat-scratch disease in prolonged fever cases.
  • Antibiotic therapy is recommended for systemic manifestations of cat-scratch disease, even if typically benign.