Phan Amanda, Castagnini Luis A
1 Baylor College of Medicine, San Antonio, TX, USA.
2 The Children's Hospital of San Antonio, San Antonio, TX, USA.
Clin Pediatr (Phila). 2017 Dec;56(14):1291-1292. doi: 10.1177/0009922816684606. Epub 2016 Dec 22.
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.
肝脾型猫抓病(CSD)可能导致长期发热。我们报告一例4岁男孩确诊为肝脾型CSD,尽管使用了多种不同的抗菌药物,发热仍持续了3个月。在开始使用皮质类固醇治疗后,患者很快就退热了。我们的病例表明,皮质类固醇可能对患有肝脾型CSD和长期发热的患者有用。