Multiple Renal and Splenic Lesions in Cat Scratch Disease
| Autor: | Manaka Matsunaga, Hiroyuki Wakiguchi, Yoshifumi Kawano, Yuichi Kodama, Naohiro Ikeda, Shunji Seki, Yasuhiro Okamoto, Akinori Miyazono |
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| Rok vydání: | 2016 |
| Předmět: |
Radiography
Abdominal Microbiology (medical) Pathology medicine.medical_specialty 030232 urology & nephrology Azithromycin Kidney Serology 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Animals Humans Serologic Tests Medical history Bites and Stings Fever of unknown origin Child Bartonella henselae biology business.industry Cat-Scratch Disease Cat-scratch disease General Medicine biology.organism_classification medicine.disease Antibodies Bacterial Anti-Bacterial Agents Treatment Outcome Infectious Diseases medicine.anatomical_structure Infectious disease (medical specialty) Cats Female Tomography X-Ray Computed business Spleen medicine.drug |
| Zdroj: | Japanese Journal of Infectious Diseases. 69:424-425 |
| ISSN: | 1884-2836 1344-6304 |
| Popis: | Cat scratch disease (CSD) is an infectious disease caused by Bartonella henselae. Atypical clinical presentations of CSD include prolonged fever and multiple hepatosplenic lesions. Furthermore, multiple renal lesions are extremely rare in CSD. An 11-year-old Japanese girl presented at our hospital with 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 the spleen. Based on her history and the CT results, her diagnosis was CSD. The diagnosis was confirmed by serological tests, which indicated antibodies against B. 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 by specific serological tests. This is the first reported Japanese case of multiple renal and splenic lesions in a patient with CSD. Although difficult to diagnose, an early diagnosis atypical CSD and appropriate treatment are important to prevent complications and the need for invasive examinations. |
| Databáze: | OpenAIRE |
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