title: [Hepatosplenic cat-scratch disease in the immunocompetent adult].
abstract: Atypical manifestations of cat-scratch disease have been described in children and immunosuppressed adults. We report the first case of hepatosplenic cat-scratch disease in an immunocompetent subject, demonstration of diversity of this infection. A 33-year-old man presented with prolonged fever, lymphadenopathy and multiple hypodense lesions of liver and spleen in ultrasonographic imaging. The hepatic biopsy showed non-specific inflammatory reactions including granulomata and stellate necrosis. Anti-Bartonella antibodies have been found. The therapy with clarithromycin and doxycycline for many weeks was effective for hepatic lesions. A month ago a history of a cat contact with the presence of a skin lesion has been reported.
authors.affiliation: Strutture Complesse di Medicina Interna II, Azienda Ospedaliera Maggiore della Carità, Novara.
authors.forename: G
authors.initials: G
authors.lastname: Zaccala
authors.forename: G
authors.initials: G
authors.lastname: Rizzo
authors.forename: R
authors.initials: R
authors.lastname: Boldorini
authors.forename: P L
authors.initials: PL
authors.lastname: Garavelli
authors.forename: M
authors.initials: M
authors.lastname: Campanini
mesh_terms: D000328:Adult; D002372:Cat-Scratch Disease / Q000175:diagnosis*; D006801:Humans; D007121:Immunocompetence; D008107:Liver Diseases / Q000382:microbiology*; D008297:Male; D013158:Splenic Diseases / Q000382:microbiology*