title: Systemic Bartonella henselae Infection in Immunocompetent Adult Presenting as Fever of Unknown Origin.
abstract: Systemic clinical presentations of infection caused by Bartonella henselae are rare in immunocompetent adults. We report four cases with hepatic and/or splenic involvement, presenting as fever of unknown origin. We discuss diagnosis and treatment of this infection. Bartonella henselae serology allows an easy diagnosis of hepatosplenic involvement in cat scratch disease, a clinical picture that appears to be underrecognized.
authors.affiliation: Department of Internal Medicine, Centre Hospitalier Général de Valence, 179 boulevard Marechal Juin, 26953 Valence Cedex 9, France.
authors.forename: Thierry
authors.initials: T
authors.lastname: Zenone