TY - JOUR
T1 - Hepatosplenic abscesses in an immunocompetent child with cat-scratch disease from Peru
AU - Del Pozo, Alexis Alfaro
AU - Angulo-Cruzado, Michelle
AU - Amenero-Vega, Ricardo
AU - Álvarez-Lulichac, Alexander
AU - Fernández-Cosavalente, Hugo
AU - Barboza-Meca, Joshuan
AU - Rodriguez-Morales, Alfonso J.
N1 - Publisher Copyright:
© 2019 The Author(s).
PY - 2019/7/15
Y1 - 2019/7/15
N2 - Background: 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. Case presentation: 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. Conclusions: 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.
AB - Background: 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. Case presentation: 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. Conclusions: 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.
KW - Bartonella henselae
KW - Cat-scratch disease
KW - Child
KW - Hepatosplenic abscesses
KW - Peru
UR - http://www.scopus.com/inward/record.url?scp=85069503815&partnerID=8YFLogxK
U2 - 10.1186/s12941-019-0322-0
DO - 10.1186/s12941-019-0322-0
M3 - Artículo
C2 - 31307480
AN - SCOPUS:85069503815
SN - 1476-0711
VL - 18
JO - Annals of Clinical Microbiology and Antimicrobials
JF - Annals of Clinical Microbiology and Antimicrobials
IS - 1
M1 - 23
ER -
