著者
Hiroyuki Wakiguchi Yasuhiro Okamoto Manaka Matsunaga Yuichi Kodama Akinori Miyazono Shunji Seki Naohiro Ikeda Yoshifumi Kawano
出版者
国立感染症研究所 Japanese Journal of Infectious Diseases 編集委員会
雑誌
Japanese Journal of Infectious Diseases (ISSN:13446304)
巻号頁・発行日
pp.JJID.2015.362, (Released:2015-11-13)
参考文献数
10
被引用文献数
2

Cat scratch disease (CSD) is an infectious disease caused by Bartonella henselae. Atypical clinical presentations of CSD include prolonged fever and multiple hepatosplenic lesions, although these are rare. Furthermore, multiple renal lesions are extremely rare in CSD. The patient was an 11-year-old Japanese girl who had a prolonged fever of unknown cause after being scratched and bitten by a kitten. Abdominal computed tomography (CT) revealed multiple small, round hypodense lesions in both kidneys and in the spleen. Based on her history and the results of CT, a diagnosis of CSD was made; the diagnosis was confirmed with serological tests, which indicated antibodies against Bartonella henselae. After treatment with azithromycin, her fever immediately improved. Careful history taking and imaging are essential for the diagnosis of atypical CSD. In CT images, not only hepatosplenic lesions but also renal lesions are important features indicative of a diagnosis of atypical CSD. Subsequently, a diagnosis of CSD can be confirmed with specific serological tests. To the best of our knowledge, this is the first reported Japanese case of multiple renal and splenic lesions in a patient with CSD. Although atypical CSD is difficult to diagnose, an early diagnosis is important to prevent invasive examinations.

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Kidney, spleen lesions found in 11-year-old girl with fever, history of kitten scratch & bite NEW/FREE: https://t.co/rl181b1bCR #Bartonella
Kidney, spleen lesions found in 11-year-old girl with fever, history of kitten scratch & bite NEW/FREE: https://t.co/Xmn89tG7lB #Bartonella
Kidney, spleen lesions found in 11-year-old girl with fever, history of kitten scratch & bite NEW/FREE: https://t.co/S8aRjsijUf #Bartonella
Kidney, spleen lesions found in 11-year-old girl with fever, history of kitten scratch & bite NEW/FREE: https://t.co/rl181b1bCR #Bartonella

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