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Spectrum of radiological manifestations of paediatric cat-scratch disease

Aaron Rohr1, Megan R Saettele, Suchit A Patel

  • 1University of Kansas School of Medicine, 3550 Rainbow Blvd., Kansas City, KS 66103, USA. arohr@kumc.edu

Pediatric Radiology
|July 17, 2012
PubMed

Insights

Cat-scratch disease (CSD) presents varied symptoms that can mimic other conditions. This review highlights key imaging findings for diagnosing CSD, particularly in children and adolescents exposed to cats.

Area of Science:

  • Infectious Diseases
  • Radiology
  • Pediatrics

Background:

  • Cat-scratch disease (CSD) is a common zoonotic illness, typically self-limiting.
  • It often affects children and adolescents following feline contact (scratches or bites).
  • CSD can present with diverse clinical and imaging findings, sometimes mimicking more severe pathologies.

Purpose of the Study:

  • To review the wide range of radiologic manifestations of Cat-scratch disease.
  • To emphasize key imaging findings associated with CSD for accurate diagnosis.

Main Methods:

  • Review of literature and case studies on Cat-scratch disease.
  • Analysis of imaging findings across various affected organ systems.

Main Results:

  • CSD commonly manifests as lymphadenopathy.
  • Radiologic findings can include hepatosplenic lesions, osteomyelitis, discitis, encephalitis, neuroretinitis, and cranial neuritis.
  • Imaging is crucial for identifying the spectrum of CSD presentations.

Conclusions:

  • Recognizing the diverse radiologic features of CSD is essential for differentiating it from other serious conditions.
  • Prompt diagnosis based on imaging can guide appropriate patient management.
  • Understanding the imaging spectrum aids clinicians in diagnosing CSD in at-risk populations.

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