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CASE REPORT OF CAT SCRATCH DISEASE (BARTONELLA)
M Endeladze1, M Zhamutashvili1, T Gognadze2
11European University, Tbilisi; 2Infectious Diseases, AIDS and Clinical Immunology Research Centre, Georgia.
Georgian Medical News
|April 30, 2025
Summary
Cat Scratch Disease (CSD) can spread within families. This case emphasizes prompt diagnosis, adherence to antibiotics, and surgical intervention for effective treatment and to prevent symptom recurrence.
Area of Science:
- Infectious Diseases
- Bacteriology
- Clinical Case Study
Background:
- Cat Scratch Disease (CSD) is a bacterial infection typically transmitted by cats.
- It often presents with lymphadenopathy and systemic symptoms.
Purpose of the Study:
- To report a case of Cat Scratch Disease (CSD) in an adult male.
- To highlight familial transmission, diagnostic challenges, and treatment outcomes.
Main Methods:
- Clinical presentation and history of cat bites.
- Laboratory investigations including serology and histopathology.
- Imaging studies (lymphadenopathy, hepatosplenic lesions).
- Treatment with antibiotics and surgical intervention.
Main Results:
- Confirmed Bartonella henselae infection.
- Initial treatment led to improvement, but recurrence occurred due to non-adherence.
- Familial transmission to the patient's son was observed.
- Combined treatment and surgery resulted in complete recovery and resolution of lesions.
Conclusions:
- CSD can exhibit familial transmission.
- Medication adherence is crucial for preventing recurrence.
- Accurate diagnosis and timely, comprehensive treatment are essential for favorable outcomes.
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