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Hepatosplenic Cat Scratch Disease and Prolonged Fever: When To Add Corticosteroids?
Alicia Pérez Pérez1, María Fernández Miaja1, Paula Díaz García1
1From the Department of Pediatrics, Hospitalization and Emergency Unit.
Abstract:
The indications for use of corticosteroids for persistent fever in cat scratch disease are controversial. We report the case of a 5-year-old boy diagnosed with systemic cat scratch disease, who presented with fever for 28 days and focal hepatosplenic lesions. He did not show improvement despite antibiotic treatment for 4 weeks, however, he became afebrile 24 hours after the administration of corticosteroids.
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