Hepatosplenic Abscesses and Osteomyelitis of the Spine in an Immunocompetent Adult with Cat Scratch DiseaseReport as inadecuate




Hepatosplenic Abscesses and Osteomyelitis of the Spine in an Immunocompetent Adult with Cat Scratch Disease - Download this document for free, or read online. Document in PDF available to download.

Case Reports in Infectious Diseases - Volume 2015 2015, Article ID 317260, 4 pages -

Case Report

Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine I, Medical University of Vienna, 1090 Vienna, Austria

Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria

Division of Immunology, Allergy and Infectious Diseases, Department of Dermatology, Medical University of Vienna, 1090 Vienna, Austria

Received 19 July 2015; Revised 30 September 2015; Accepted 8 October 2015

Academic Editor: Sinésio Talhari

Copyright © 2015 D. Knafl et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present an 18-year-old, immunocompetent Austrian military conscript with cervical lymphadenopathy, fever, back-pain, and persistent inflammation markers despite two weeks of antimicrobial therapy with ampicillin-sulbactam. All specific laboratory investigations for identification of a specific etiology, including blood cultures and autoantibodies, were inconspicuous. Abdominal computed tomography showed multiple hypodense hepatosplenic lesions and osteomyelitis of the thoracic and lumbar spine with base plate fracture. Based on the patient’s history, clinical presentation, and radiological findings, serology for cat scratch disease CSD was performed and high B. henselae specific IgM and IgG antibodies were detected. Due to its variety of clinical presentations, diagnosis of CSD is challenging, especially in the absence of a history of specific exposure. This case report shall remind the physician that cat scratch disease is a common disease, mainly presenting with fever and lymphadenopathy in young patients. Nevertheless CSD has many different and rare forms of presentations, including hepatosplenic lesions and bone involvement as shown in this case.





Author: D. Knafl, F. Lötsch, H. Burgmann, G. Goliasch, W. Poeppl, M. Ramharter, F. Thalhammer, and C. Schuster

Source: https://www.hindawi.com/



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