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Hepatosplenic abscesses in an immunocompetent child with cat-scratch disease from Peru

Authors
  • del Pozo, Alexis Alfaro1
  • Angulo-Cruzado, Michelle1
  • Amenero-Vega, Ricardo1, 2
  • Álvarez-Lulichac, Alexander1
  • Fernández-Cosavalente, Hugo3, 4
  • Barboza-Meca, Joshuan5
  • Rodriguez-Morales, Alfonso J.6, 7
  • 1 Universidad Nacional de Trujillo, Faculty of Human Medicine, Trujillo, Peru , Trujillo (Peru)
  • 2 Universidad Nacional de Trujillo, Sociedad Cientifica de Estudiantes de Medicina, Trujillo, Peru , Trujillo (Peru)
  • 3 Universidad Nacional de Trujillo, Department of Pediatrics, Faculty of Human Medicine, Trujillo, Peru , Trujillo (Peru)
  • 4 Hospital Belen de Trujillo, Department of Pediatrics, Trujillo, Peru , Trujillo (Peru)
  • 5 Universidad San Ignacio de Loyola, Lima, Peru , Lima (Peru)
  • 6 Universidad Tecnologica de Pereira, Public Health and Infection Research Group, Faculty of Health Sciences, Pereira, Risaralda, Colombia , Pereira (Colombia)
  • 7 Universidad Privada Franz Tamayo/UniFranz, Cochabamba, Bolivia , Cochabamba (Bolivia)
Type
Published Article
Journal
Annals of Clinical Microbiology and Antimicrobials
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Jul 15, 2019
Volume
18
Issue
1
Identifiers
DOI: 10.1186/s12941-019-0322-0
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundCat-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 presentationWe 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.ConclusionsHepatosplenic 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.

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