Mori-Collantes J, Salazar-Llanos M, Salcedo-Espejo E

Language: Spanish
References: 11
Page: 123-125
PDF size: 224.87 Kb.

ABSTRACT

Objective: To describe the case of a child with cat-scratch disease who had an atypical presentation. Case presentation: Three-year-old patient, with a high fever of three weeks of evolution, accompanied by hyporexia and weight loss. The physical examination did not detect any abnormality, including adenopathies or visceral growth. Various laboratory studies were negative; Ultrasound detected abscesses in the liver and spleen, so antimicrobial treatment was initiated. In the absence of a response, a history of cat scratch was identified through targeted interrogation; antibodies were requested for Bartonella henselae which were positive. After starting treatment with azithromycin, rifampin and gentamicin, the patient’s evolution was favorable. Conclusions: In the presence of a patient with fever of unknown origin should consider the diagnosis of cat-scratch disease, in the differential diagnosis.

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