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Case Reports
. 2016 Oct-Dec;20(4):306-308.

Multifocal splenic abscesses in immunocompetent adult due to cat-scratch disease

E Gkamprela  1 , V Papadimitropoulos  1 , N Papadopoulos  2 , M Deutsch  1
Affiliations
Case Reports

Multifocal splenic abscesses in immunocompetent adult due to cat-scratch disease

E Gkamprela et al. Hippokratia. 2016 Oct-Dec.

Abstract

Background: Cat-scratch disease is caused by Bartonella henselae and transmitted to humans via the cats. Patients usually present with cutaneous lesions, regional lymphadenopathy and a brief period of fever.

Case report: We report a rare case of an isolated splenic cat-scratch disease in an immunocompetent 27-year-old woman who presented with prolonged fever and multifocal splenic lesions. The patient was treated successfully with a long course of antibiotics.

Conclusion: Isolated splenic lesions and fever is a rare manifestation of the cat-scratch disease. There is need of high suspicion index by the physicians to diagnose the disease promptly without invasive methods. Hippokratia 2016, 20(4): 306-308.

Keywords: Bartonella henselae; Cat-scratch disease; splenic abscess; splenic lesions.

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Figures

Figure 1
Figure 1. Axial images of magnetic resonance imaging scan of the upper abdomen showing two of the three detected splenic lesions consistent with abscesses, before the initiation of antibiotics
Figure 2
Figure 2. Axial image of magnetic resonance imaging scan of the upper abdomen after the end of treatment showing complete resolution of the splenic lesions
See this image and copyright information in PMC

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