Carvajal Jaimes Andrés, Yamasque Arias Alexandra, Piccolomini Juan P
Servicio de Pediatría. Hospital Dr. Claudio Zin, Malvinas Argentinas, Argentina.
Arch Argent Pediatr. 2021 Oct;119(5):e540-e544. doi: 10.5546/aap.2021.e540.
The infection by Bartonela henselae (BH), the cause of cat scratch disease, it could be asymptomatic or produce local and multisystem illness. The objective of this case report is to document that the hepato-splenic involvement is unusual in BH infection, and the treatment is discussed and individualized in each patient. This case is about an eleven-year girl who presented with findings in abdominal tomography and ultrasound of hepato-splenic abscesses, with later positive serology for BH. In this way, a bibliographic review is carried out to show the low prevalence and incidence of hepato-splenic involvement where the anamnesis and the physical examination are essential to make an early diagnosis and treatment.
汉赛巴尔通体（BH）感染是猫抓病的病因，可能无症状，也可能引发局部和多系统疾病。本病例报告的目的是记录肝脾受累在BH感染中较为罕见，并针对每位患者讨论并制定个体化治疗方案。本病例为一名11岁女孩，腹部断层扫描和超声检查发现肝脾脓肿，随后BH血清学检查呈阳性。通过这种方式，进行了文献综述，以表明肝脾受累的低患病率和发病率，其中病史和体格检查对于早期诊断和治疗至关重要。
