title: Visceral involvement in an immunocompetent male: a rare presentation of cat scratch disease.
abstract: We report a case of an adult, immunocompetent male with lymphadenopathy of both groins, para-aortal lymph nodes and multiple lesions in the spleen. A neoplasm was excluded by histology of the largest lymph node from the left groin. The diagnosis of cat-scratch disease (CSD ) became apparent when serological testing for Bartonella henselae showed to be positive. A review of literature shows that disseminated (visceral) infection is a rare presentation of CSD.
authors.affiliation: Department of Internal Medicine, Sint Franciscus Gasthuis, Rotterdam, the Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: van der Veer-Meerkerk
authors.forename: H C T
authors.initials: HC
authors.lastname: van Zaanen
mesh_terms: D000818:Animals; D018416:Bartonella henselae / Q000302:isolation & purification; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D007121:Immunocompetence; D008198:Lymph Nodes / Q000382:microbiology* / Q000473:pathology; D008206:Lymphatic Diseases; D008297:Male; D008875:Middle Aged; D013158:Splenic Diseases / Q000175:diagnosis / Q000382:microbiology* / Q000473:pathology