ISSN:
1432-1076
Keywords:
Key words Cat-scratch disease
;
Chest wall tumour
;
Hepatic granulomas
;
Splenic granulomas
;
Bartonella species
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Cat-scratch disease is a well-known cause of regional adenopathy in immunocompetent children. Rarely, patients may present with symptoms simulating a neoplastic disease. The case of a 12-year-old boy with fever, swelling of the chest wall and hepatosplenic nodules is reported. Histological analysis of biopsy specimen obtained from the chest wall lesion and the liver revealed granulomatous reaction without malignant cells. Serological investigations were positive for Bartonella species. The symptoms and the lesions disappeared after oral antibiotic therapy (ciprofloxacin) was started. The patient remained symptom-free 12 months later. Conclusion The present case emphasizes the wide spectrum of clinical manifestations associated with cat-scratch disease which should be investigated as differential diagnosis of manifestations suggesting a neoplastic disease in children.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s004310051101
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