Boiron E, Soto B, Zimmermann B, Jullien M
Service de pédiatrie, centre hospitalier de Troyes, 101, avenue Anatole-France, 10000 Troyes, France.
Arch Pediatr. 2012 Jun;19(6):603-6. doi: 10.1016/j.arcped.2012.03.008. Epub 2012 May 5.
Cat scratch disease is caused by a facultative intracellular Gram-negative bacteria, Bartonella henselae. This disease is transmitted by cat scratches or bites. The typical form is a large and rough adenopathy, with no general signs. In a few cases, the symptoms are aspecific and various, which makes the diagnosis difficult. A 3-year-old child presented a prolonged fever with an aspecific skin eruption and hepatosplenic lesions seen 1 month after the beginning of the disease, which led to the diagnosis of hepatosplenic cat scratch disease. An adapted antibiotic therapy completely cured the disease.
猫抓病是由兼性细胞内革兰氏阴性菌汉赛巴尔通体引起的。这种疾病通过猫的抓挠或咬伤传播。典型症状是肿大且粗糙的淋巴结病，无全身症状。在少数情况下，症状不具特异性且多样，这使得诊断困难。一名3岁儿童在疾病开始1个月后出现持续发热、非特异性皮疹和肝脾病变，最终诊断为肝脾型猫抓病。经过适当的抗生素治疗，疾病完全治愈。
