Cat scratch disease. Report of a case with hepatic lesions and a brief review of the literature.
An unusual case of cat scratch disease with large hepatic defects is presented. We describe a previously healthy 16-yr-old black man presenting with a neck mass, hepatosplenomegaly, and systemic symptoms. Pathology of the neck mass revealed a lymph node with chronic inflammation and focal necrosis. An abnormal computed tomography scan showed large hepatic defects which were confirmed at peritoneoscopy; biopsy specimens are described. Routine and special stains for bacteria and fungi were all negative. Serologic studies were unremarkable but a cat scratch skin test was positive. Follow-up examinations revealed resolution of all findings. Cat scratch disease should be considered in the differential diagnosis of diseases causing lymphadenopathy, systemic symptoms, and hepatic (and splenic) defects.
Rocco
V K
VK
Roman
R J
RJ
Eigenbrodt
E H
EH
D000293:Adolescent; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D003937:Diagnosis, Differential; D006099:Granuloma / Q000209:etiology; D006529:Hepatomegaly / Q000209:etiology; D006801:Humans; D010535:Laparoscopy; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D008297:Male; D013163:Splenomegaly / Q000209:etiology; D014057:Tomography, X-Ray Computed