Splenorenal Manifestations of Bartonella henselae Infection in a Pediatric Patient
Bartonella henselae is a bacterium which can cause a wide range of clinical manifestations, ranging from fever of unknown origin to a potentially fatal endocarditis. We report a case of Bartonella henselae infection in a pediatric-aged patient following a scratch from a kitten. The patient initially...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2016/7803832 |
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| author | Taylor Rising Nicholas Fulton Pauravi Vasavada |
| author_facet | Taylor Rising Nicholas Fulton Pauravi Vasavada |
| author_sort | Taylor Rising |
| collection | DOAJ |
| description | Bartonella henselae is a bacterium which can cause a wide range of clinical manifestations, ranging from fever of unknown origin to a potentially fatal endocarditis. We report a case of Bartonella henselae infection in a pediatric-aged patient following a scratch from a kitten. The patient initially presented with a prolonged fever of unknown origin which was unresponsive to antibiotic treatment. The patient was hospitalized with worsening fevers and night sweat. Subsequent ultrasound imaging demonstrated multiple hypoechoic foci within the spleen. A contrast-enhanced CT of the abdomen and pelvis was also obtained which showed hypoattenuating lesions in the spleen and bilateral kidneys. Bartonella henselae IgG and IgM titers were positive, consistent with an acute Bartonella henselae infection. The patient was discharged with a course of oral rifampin and trimethoprim-sulfamethoxazole, and all symptoms had resolved following two weeks of therapy. |
| format | Article |
| id | doaj-art-d5077c188a874d10a03cfe0f7176a7e2 |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-d5077c188a874d10a03cfe0f7176a7e22025-02-03T01:06:52ZengWileyCase Reports in Radiology2090-68622090-68702016-01-01201610.1155/2016/78038327803832Splenorenal Manifestations of Bartonella henselae Infection in a Pediatric PatientTaylor Rising0Nicholas Fulton1Pauravi Vasavada2Northeast Ohio Medical University, 4209 State Route 44, Rootstown, OH 44272, USAUniversity Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH 44106, USAUniversity Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH 44106, USABartonella henselae is a bacterium which can cause a wide range of clinical manifestations, ranging from fever of unknown origin to a potentially fatal endocarditis. We report a case of Bartonella henselae infection in a pediatric-aged patient following a scratch from a kitten. The patient initially presented with a prolonged fever of unknown origin which was unresponsive to antibiotic treatment. The patient was hospitalized with worsening fevers and night sweat. Subsequent ultrasound imaging demonstrated multiple hypoechoic foci within the spleen. A contrast-enhanced CT of the abdomen and pelvis was also obtained which showed hypoattenuating lesions in the spleen and bilateral kidneys. Bartonella henselae IgG and IgM titers were positive, consistent with an acute Bartonella henselae infection. The patient was discharged with a course of oral rifampin and trimethoprim-sulfamethoxazole, and all symptoms had resolved following two weeks of therapy.http://dx.doi.org/10.1155/2016/7803832 |
| spellingShingle | Taylor Rising Nicholas Fulton Pauravi Vasavada Splenorenal Manifestations of Bartonella henselae Infection in a Pediatric Patient Case Reports in Radiology |
| title | Splenorenal Manifestations of Bartonella henselae Infection in a Pediatric Patient |
| title_full | Splenorenal Manifestations of Bartonella henselae Infection in a Pediatric Patient |
| title_fullStr | Splenorenal Manifestations of Bartonella henselae Infection in a Pediatric Patient |
| title_full_unstemmed | Splenorenal Manifestations of Bartonella henselae Infection in a Pediatric Patient |
| title_short | Splenorenal Manifestations of Bartonella henselae Infection in a Pediatric Patient |
| title_sort | splenorenal manifestations of bartonella henselae infection in a pediatric patient |
| url | http://dx.doi.org/10.1155/2016/7803832 |
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