[Hepatic and splenic micro-abscess in cat scratch disease. Report of a case].
Cat-scratch disease (CSD) is an infection caused by a gram-negative bacillus known as Bartonella Henselae. Hepatosplenic disease occurs in only 0.3-0.7% of patients. In this report we describe a 7-year-old male presented with a 4-week history of fever, after diagnosis of CSD with regional lymphoadenitis. Ultrasonography and tomography identified hepatic and splenic abscesses. Antibiotic treatment for three months was associated with resolution of lesions. In Patients affected by CSD, ultrasonography and tomography permit to identify hepatic and/or splenic lesions, indicating systemic CSD.
Luciano
A
A
Cattedra di Pediatria dell'Università, Ospedale Civile Maggiore di Verona, Italia.
Rossi
F
F
Bolognani
M
M
Trabucchi
C
C
D000038:Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002372:Cat-Scratch Disease / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D002648:Child; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D008100:Liver Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D008199:Lymphadenitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology; D008297:Male; D009428:Netilmicin / Q000627:therapeutic use; D012293:Rifampin / Q000627:therapeutic use; D013158:Splenic Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D000900:Anti-Bacterial Agents; D005839:Gentamicins; D009428:Netilmicin; D012293:Rifampin