title: [A case of hepatosplenic cat scratch disease].
abstract: A 43-year-old man was admitted with idiopathic fever. Abdominal ultrasonogram demonstrated multiple hypoechoic lesions in the spleen. Abdominal CT scan showed multiple hypodense lesions in the liver and spleen. The patient had a cat in his house, and the presence of a very high serous antibody titer for Bartonella henselae led to the diagnosis of hepatosplenic cat scratch disease. It is important to consider this disease in the differential diagnosis of idiopathic fever when multiple lesions are detected in the liver and spleen.
authors.affiliation: Department of Gastroenterology, Toyota Memorial Hospital.
authors.forename: Takuya
authors.initials: T
authors.lastname: Ishikawa
authors.forename: Takashi
authors.initials: T
authors.lastname: Suzuki
authors.forename: Masataka
authors.initials: M
authors.lastname: Shinoda
authors.forename: Hitomi
authors.initials: H
authors.lastname: Takashi
authors.forename: Haruo
authors.initials: H
authors.lastname: Yamaguchi
authors.forename: Takahisa
authors.initials: T
authors.lastname: Suzuki
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Miyake
authors.forename: Tohru
authors.initials: T
authors.lastname: Kamiya
mesh_terms: D000328:Adult; D000818:Animals; D000907:Antibodies, Bacterial / Q000097:blood*; D018416:Bartonella henselae / Q000276:immunology*; D002372:Cat-Scratch Disease / Q000175:diagnosis*; D002415:Cats; D003937:Diagnosis, Differential; D005335:Fever of Unknown Origin / Q000209:etiology*; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008297:Male; D013158:Splenic Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014463:Ultrasonography
chemical_list: D000907:Antibodies, Bacterial