Abstract
Introduction:
Cat-Scratch Disease (CSD) is a well-recognized benign cause of localized lymphadenopathy, which often recovers spontaneously. However systemic clinical presentations are described in immunodeficient adults (bacillary angiomatosis, bacillary splenitis) and are less common in immunocompetent ones.
Exegesis:
We report two cases of disseminated CSD in immunocompetent patients, presenting hepatosplenic nodules, associated in the second case with an endocarditis.
Conclusion:
Bartonella serology must be achieved in case of hepatosplenic nodules with fever. Treatment of disseminated CSD in immunocompetent adults is still empirical and recovery can occur without antibiotherapy when endocarditis is not associated.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Aged
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Animals
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Anti-Bacterial Agents / therapeutic use
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Bartonella Infections / diagnosis*
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Bartonella Infections / drug therapy
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Bartonella Infections / microbiology
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Bartonella henselae / isolation & purification
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Cat-Scratch Disease / diagnosis*
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Cat-Scratch Disease / drug therapy
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Cat-Scratch Disease / microbiology
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Cats
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Endocarditis, Bacterial / diagnosis
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Endocarditis, Bacterial / drug therapy
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Endocarditis, Bacterial / microbiology*
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Female
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Humans
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Immunocompetence*
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Liver Abscess / diagnosis
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Liver Abscess / drug therapy
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Liver Abscess / microbiology*
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Male
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Middle Aged
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Splenic Diseases / diagnosis
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Splenic Diseases / drug therapy
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Splenic Diseases / microbiology*
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Treatment Outcome