title: Corticosteroid Treatment for Prolonged Fever in Hepatosplenic Cat-Scratch Disease: A Case Study.
abstract: Hepatosplenic cat-scratch disease (CSD) may cause prolonged fever. We present the case of a 4-year-old boy with confirmed hepatosplenic CSD with fever lasting 3 months despite use of multiple different antimicrobial agents. The patient became afebrile soon after corticosteroid therapy was started. Our case indicates corticosteroids may be useful in patients with hepatosplenic CSD and prolonged fever.
authors.affiliation: 1 Baylor College of Medicine, San Antonio, TX, USA.|2 The Children's Hospital of San Antonio, San Antonio, TX, USA.
authors.forename: Amanda
authors.initials: A
authors.lastname: Phan
authors.affiliation: 1 Baylor College of Medicine, San Antonio, TX, USA.|2 The Children's Hospital of San Antonio, San Antonio, TX, USA.
authors.forename: Luis A
authors.initials: LA
authors.lastname: Castagnini
mesh_terms: D002372:Cat-Scratch Disease / Q000150:complications* / Q000188:drug therapy*; D002675:Child, Preschool; D005334:Fever / Q000188:drug therapy / Q000209:etiology*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008107:Liver Diseases / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use*; D013158:Splenic Diseases / Q000188:drug therapy / Q000209:etiology*; D013995:Time; D016896:Treatment Outcome
chemical_list: D005938:Glucocorticoids; D011239:Prednisolone
keywords: Bartonella henselae; cat-scratch disease; hepatosplenic cat-scratch disease; persistent fever; steroid therapy