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[Elbow abscess revealing cat-scratch disease: about a case].
Mustafa Nkaoui1, Ahmed El Bardouni1, Omar Lazrek1
1Service de Chirurgie Orthopédique et de Traumatologie, CHU Ibn Sina, Université Mohammad V Souissi, Rabat, Maroc.
The Pan African Medical Journal
|August 19, 2017
Summary
Cat-scratch disease (CSD), caused by Bartonella henselae, typically presents with swollen lymph nodes. This case highlights an unusual presentation of CSD in an 18-year-old girl, revealed by an elbow abscess.
Area of Science:
- Infectious Diseases
- Bacteriology
- Pediatrics
Background:
- Cat-scratch disease (CSD) is a common bacterial infection caused by Bartonella henselae.
- It typically manifests as chronic benign lymphadenopathy in children and young adults.
- Common symptoms include regional lymphadenopathy and fever.
Observation:
- A case of an 18-year-old female with clinically atypical CSD is presented.
- The patient's CSD was revealed by an elbow abscess, an uncommon initial manifestation.
Findings:
- Bartonella henselae infection can manifest in ways beyond typical lymphadenopathy and fever.
- An elbow abscess can be an indicator of CSD, requiring consideration in differential diagnoses.
Implications:
- This case underscores the importance of considering CSD in the differential diagnosis of atypical presentations, such as localized abscesses.
- Recognizing unusual CSD manifestations can lead to earlier diagnosis and appropriate treatment, preventing complications.
