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[Atypical presentation of hepatosplenic cat scratch disease in a 3-year-old child]
E Boiron1, B Soto, B Zimmermann
1Service de pédiatrie, centre hospitalier de Troyes, 101, avenue Anatole-France, 10000 Troyes, France. emilie.boiron@wanadoo.fr
Abstract:
Cat scratch disease is caused by a facultative intracellular Gram-negative bacteria, Bartonella henselae. This disease is transmitted by cat scratches or bites. The typical form is a large and rough adenopathy, with no general signs. In a few cases, the symptoms are aspecific and various, which makes the diagnosis difficult. A 3-year-old child presented a prolonged fever with an aspecific skin eruption and hepatosplenic lesions seen 1 month after the beginning of the disease, which led to the diagnosis of hepatosplenic cat scratch disease. An adapted antibiotic therapy completely cured the disease.
Insights
Cat scratch disease, caused by Bartonella henselae bacteria, can present with unusual symptoms like prolonged fever and organ involvement. Early diagnosis and antibiotic treatment are key to a full recovery.
Area of Science:
- Infectious Diseases
- Bacteriology
- Pediatrics
Background:
- Cat scratch disease is caused by Bartonella henselae, a Gram-negative bacteria.
- Transmission occurs through cat scratches or bites.
- Typical symptoms include adenopathy, but atypical presentations can complicate diagnosis.
