title: Atypical form of cat scratch disease in immunocompetent patient.
abstract: BACKGROUND
  Cat scratch disease (CSD) is an acute infectious disease with benign course caused by the bacteria Bartonella henselae. Clinically, it is usually manifested as regional lymphadenopathy and mild infective syndrome. Rare forms of the disease which usually occur in immunocompromised presons are: encephalitis, transverse myelitis, neuroretinitis, granulomatosus conjunctivitis, arthritis, hepatitis etc.
  
  
  METHODS
  We presented an atypical form of cat scratch disease in a young immunocompetent female person. The disease was manifested with prolonged fever, rash, purulent lymphadenitis and hepatitis. The diagnosis was based on characteristic patohystological finding and exclusion of the other causes of lymphadenopathy. The patient was treated by antibiotics for a few weeks, with surgical incision and drainage of the purulent lymphadenitis.
  
  
  CONCLUSIONS
  Atypical forms of CSD could be an important differential-diagnostic problem, especially if there is no opportunity for serological confirmation of the disease.
authors: Clinic for Infectious and Tropical Diseases, Military Medical Academy, Belgrade, Serbia. miroslav_kojic@hotmail.com
authors: Miroslav
authors: M
authors: Kojić
authors: Dragan
authors: D
authors: Mikić
authors: Darko
authors: D
authors: Nozić
authors: Lidija
authors: L
authors: Zolotarevski
mesh_terms: D000328:Adult; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000276:immunology; D005260:Female; D006801:Humans; D007121:Immunocompetence