Atypical Presentation of Cat-Scratch Disease in an Immunocompetent Child with Serological and Pathological Evidence
Typical cat-scratch disease (CSD) is characterized by local lymphadenopathy following the scratch or bite from a cat or kitten. An atypical presentation which includes liver and/or spleen lesions is rarely reported in an immunocompetent child. Systemic CSD may mimic more serious disorders like malig...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2014/397437 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832545604218126336 |
|---|---|
| author | Serkan Atıcı Eda Kepenekli Kadayıfcı Ayşe Karaaslan Muhammed Hasan Toper Cigdem Ataizi Celikel Ahmet Soysal Mustafa Bakır |
| author_facet | Serkan Atıcı Eda Kepenekli Kadayıfcı Ayşe Karaaslan Muhammed Hasan Toper Cigdem Ataizi Celikel Ahmet Soysal Mustafa Bakır |
| author_sort | Serkan Atıcı |
| collection | DOAJ |
| description | Typical cat-scratch disease (CSD) is characterized by local lymphadenopathy following the scratch or bite from a cat or kitten. An atypical presentation which includes liver and/or spleen lesions is rarely reported in an immunocompetent child. Systemic CSD may mimic more serious disorders like malignancy or tuberculosis. Although a diagnosis is difficult to establish in systemic CSD, an early diagnosis and an appropriate treatment are important to prevent complications. Bartonella henselae is difficult to culture, and culture is not routinely recommended. Clinical, serological, radiological, and pathological findings are used for the diagnosis of CSD. Herein we present a case of systemic CSD presenting with hepatic mass in an immunocompetent child. The differential diagnosis is made by serological and pathological evidence. He was successfully treated with gentamicin (7.5 mg/kg) and rifampin (15 mg/kg) for six weeks. |
| format | Article |
| id | doaj-art-caf18ca14a094c24bcabe235d8799171 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-caf18ca14a094c24bcabe235d87991712025-02-03T07:25:18ZengWileyCase Reports in Pediatrics2090-68032090-68112014-01-01201410.1155/2014/397437397437Atypical Presentation of Cat-Scratch Disease in an Immunocompetent Child with Serological and Pathological EvidenceSerkan Atıcı0Eda Kepenekli Kadayıfcı1Ayşe Karaaslan2Muhammed Hasan Toper3Cigdem Ataizi Celikel4Ahmet Soysal5Mustafa Bakır6Department of Pediatrics and Division of Pediatric Infectious Diseases, Marmara University Medical Faculty, Pendik Training and Research Hospital, Fevzi Cakmak Mah. Mimar Sinan Cad., Ust Kaynarca, Pendik, 34899 Istanbul, TurkeyDepartment of Pediatrics and Division of Pediatric Infectious Diseases, Marmara University Medical Faculty, Pendik Training and Research Hospital, Fevzi Cakmak Mah. Mimar Sinan Cad., Ust Kaynarca, Pendik, 34899 Istanbul, TurkeyDepartment of Pediatrics and Division of Pediatric Infectious Diseases, Marmara University Medical Faculty, Pendik Training and Research Hospital, Fevzi Cakmak Mah. Mimar Sinan Cad., Ust Kaynarca, Pendik, 34899 Istanbul, TurkeyDepartment of Pathology, Marmara University Medical Faculty, Pendik Training and Research Hospital, Fevzi Cakmak Mah. Mimar Sinan Cad., Ust Kaynarca, Pendik, 34899 Istanbul, TurkeyDepartment of Pathology, Marmara University Medical Faculty, Pendik Training and Research Hospital, Fevzi Cakmak Mah. Mimar Sinan Cad., Ust Kaynarca, Pendik, 34899 Istanbul, TurkeyDepartment of Pediatrics and Division of Pediatric Infectious Diseases, Marmara University Medical Faculty, Pendik Training and Research Hospital, Fevzi Cakmak Mah. Mimar Sinan Cad., Ust Kaynarca, Pendik, 34899 Istanbul, TurkeyDepartment of Pediatrics and Division of Pediatric Infectious Diseases, Marmara University Medical Faculty, Pendik Training and Research Hospital, Fevzi Cakmak Mah. Mimar Sinan Cad., Ust Kaynarca, Pendik, 34899 Istanbul, TurkeyTypical cat-scratch disease (CSD) is characterized by local lymphadenopathy following the scratch or bite from a cat or kitten. An atypical presentation which includes liver and/or spleen lesions is rarely reported in an immunocompetent child. Systemic CSD may mimic more serious disorders like malignancy or tuberculosis. Although a diagnosis is difficult to establish in systemic CSD, an early diagnosis and an appropriate treatment are important to prevent complications. Bartonella henselae is difficult to culture, and culture is not routinely recommended. Clinical, serological, radiological, and pathological findings are used for the diagnosis of CSD. Herein we present a case of systemic CSD presenting with hepatic mass in an immunocompetent child. The differential diagnosis is made by serological and pathological evidence. He was successfully treated with gentamicin (7.5 mg/kg) and rifampin (15 mg/kg) for six weeks.http://dx.doi.org/10.1155/2014/397437 |
| spellingShingle | Serkan Atıcı Eda Kepenekli Kadayıfcı Ayşe Karaaslan Muhammed Hasan Toper Cigdem Ataizi Celikel Ahmet Soysal Mustafa Bakır Atypical Presentation of Cat-Scratch Disease in an Immunocompetent Child with Serological and Pathological Evidence Case Reports in Pediatrics |
| title | Atypical Presentation of Cat-Scratch Disease in an Immunocompetent Child with Serological and Pathological Evidence |
| title_full | Atypical Presentation of Cat-Scratch Disease in an Immunocompetent Child with Serological and Pathological Evidence |
| title_fullStr | Atypical Presentation of Cat-Scratch Disease in an Immunocompetent Child with Serological and Pathological Evidence |
| title_full_unstemmed | Atypical Presentation of Cat-Scratch Disease in an Immunocompetent Child with Serological and Pathological Evidence |
| title_short | Atypical Presentation of Cat-Scratch Disease in an Immunocompetent Child with Serological and Pathological Evidence |
| title_sort | atypical presentation of cat scratch disease in an immunocompetent child with serological and pathological evidence |
| url | http://dx.doi.org/10.1155/2014/397437 |
| work_keys_str_mv | AT serkanatıcı atypicalpresentationofcatscratchdiseaseinanimmunocompetentchildwithserologicalandpathologicalevidence AT edakepeneklikadayıfcı atypicalpresentationofcatscratchdiseaseinanimmunocompetentchildwithserologicalandpathologicalevidence AT aysekaraaslan atypicalpresentationofcatscratchdiseaseinanimmunocompetentchildwithserologicalandpathologicalevidence AT muhammedhasantoper atypicalpresentationofcatscratchdiseaseinanimmunocompetentchildwithserologicalandpathologicalevidence AT cigdemataizicelikel atypicalpresentationofcatscratchdiseaseinanimmunocompetentchildwithserologicalandpathologicalevidence AT ahmetsoysal atypicalpresentationofcatscratchdiseaseinanimmunocompetentchildwithserologicalandpathologicalevidence AT mustafabakır atypicalpresentationofcatscratchdiseaseinanimmunocompetentchildwithserologicalandpathologicalevidence |