[Cat scratch disease: clinical characteristics in hospitalised children]

C Medici Olaso1, L García Gariglio, M I Ferreira García

  • 1Departamento de Pediatría y Especialidades, Hospital Pediátrico, Centro Hospitalario Pereira Rossell, Montevideo, Uruguay. conrado.medici@gmail.com

Insights

Cat scratch disease (CSD) in Uruguayan children often presents with prolonged fever and swollen lymph nodes, sometimes affecting the liver or spleen. Early diagnosis is key for effective management of this common childhood infection.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Epidemiology

Context:

  • Limited data exists on the epidemiology and clinical presentation of cat scratch disease (CSD) in Uruguayan children.
  • Hospitalized pediatric cases of CSD are infrequently reported in Uruguay.

Purpose:

  • To characterize the clinical manifestations, treatment, and outcomes of hospitalized children diagnosed with CSD.
  • To provide insights into the clinical spectrum of CSD in a pediatric population in Uruguay.

Summary:

  • A retrospective study analyzed 15 hospitalized children with CSD between 2004 and 2008.
  • Common findings included regional lymphadenitis (100%), prolonged fever (67%), and hepatic and/or splenic involvement (87%).
  • No fatalities or long-term sequelae were observed in the study cohort.

Impact:

  • Highlights the importance of considering CSD in children presenting with prolonged fever and lymphadenitis.
  • Suggests abdominal ultrasound as a valuable tool for diagnosing CSD, particularly for identifying visceral involvement.
  • Contributes to understanding CSD's clinical profile in a specific geographic region, aiding clinical suspicion and diagnostic approaches.
Abstract

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