Faculty of Human Medicine, Universidad Nacional de Trujillo, Trujillo, Peru.
Sociedad Cientifica de Estudiantes de Medicina, Universidad Nacional de Trujillo, Trujillo, Peru.
Ann Clin Microbiol Antimicrob. 2019 Jul 15;18(1):23. doi: 10.1186/s12941-019-0322-0.
Cat-scratch disease (CSD) is a zoonotic infection caused by Bartonella henselae and B. clarridgeiae. The typical manifestations of CSD include regional lymphadenitis and fever. However, CSD can have a wide variety of clinical manifestations that can lead to incorrect diagnoses and prolonged hospital stays.
We present a case of a 3-year-old boy admitted to the pediatric service due to prolonged fever and abdominal pain. He received empirical antimicrobial treatment due to suspicion of infection. Abdominal ultrasound showed hepatosplenic abscesses. An IFA detected the presence of IgG antibodies against B. henselae (1:256). Patient was successfully treated with azithromycin and discharged after 7 weeks.
Hepatosplenic abscesses in CSD are rarely reported, particularly in immunocompetent children, with this, only 36 cases in PubMed, Web of Sciences and Scopus bibliographical databases. High rate of suspicion and serological tests availability are of utmost importance in order to detect it and treat it successfully and promptly.
猫抓病（CSD）是由巴尔通体属的亨氏巴尔通体和博氏巴尔通体引起的人畜共患病感染。CSD 的典型表现包括局部淋巴结炎和发热。然而，CSD 可能有各种各样的临床表现，导致误诊和住院时间延长。
我们报告了一例 3 岁男孩因长期发热和腹痛入住儿科的病例。由于怀疑感染，他接受了经验性抗菌治疗。腹部超声显示肝脾脓肿。IFA 检测到针对 B. henselae 的 IgG 抗体（1:256）呈阳性。患者成功接受阿奇霉素治疗，并在 7 周后出院。
CSD 中的肝脾脓肿很少见，特别是在免疫功能正常的儿童中，在 PubMed、Web of Sciences 和 Scopus 文献数据库中仅报告了 36 例。高度怀疑和血清学检测的可用性对于成功和及时发现和治疗该病非常重要。
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