Probable atypical cat scratch disease presenting as isolated posterior pancreatic duodenal lymphadenitis and abdominal pain.
We report a case involving a 15-year-old girl with atypical, clinically unsuspected cat scratch disease (CSD) presenting as isolated posterior pancreatic duodenal lymphadenitis, fever, and abdominal pain. The serological, abdominal ultrasonographic, and CT findings, as well as clinical and epidemiological data, indicate that B. henselae was likely an etiologic agent of CSD in our patient.
Dzelalija
B
B
Department of Infectious Diseases, General Hospital Zadar, Zadar, Croatia. boris.dzelalija@zd.tel.hr
Petrovec
M
M
Avsic-Zupanc
T
T
D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D000907:Antibodies, Bacterial / Q000097:blood; D018416:Bartonella henselae / Q000276:immunology / Q000472:pathogenicity; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000209:etiology / Q000276:immunology; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000209:etiology; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D008199:Lymphadenitis / Q000209:etiology; D010182:Pancreatic Diseases / Q000209:etiology
D000907:Antibodies, Bacterial