scholarly journals Atypical form of cat scratch disease in immunocompetent patient

2013 ◽  
Vol 70 (1) ◽  
pp. 72-76 ◽  
Author(s):  
Miroslav Kojic ◽  
Dragan Mikic ◽  
Darko Nozic ◽  
Lidija Zolotarevski
Keyword(s):  
Bartonella Henselae ◽  
Transverse Myelitis ◽  
Immunocompetent Patient ◽  
Cat Scratch Disease ◽  
Diagnostic Problem ◽  
Surgical Incision ◽  
Incision And Drainage ◽  
Atypical Form ◽  
Acute Infectious Disease ◽  
Benign Course

Introduction. Cat scratch disease (CSD) is an acute infectious disease with benign course caused by the bacteria Bartonella henselae. Clinically, it is usually manifested as regional lymphadenopathy and mild infective syndrome. Rare forms of the disease which usually occur in immunocompromised presons are: encephalitis, transverse myelitis, neuroretinitis, granulomatosus conjunctivitis, arthritis, hepatitis etc. Case report. We presented an atypical form of cat scratch disease in a young immunocompetent female person. The disease was manifested with prolonged fever, rash, purulent lymphadenitis and hepatitis. The diagnosis was based on characteristic patohystological finding and exclusion of the other causes of lymphadenopathy. The patient was treated by antibiotics for a few weeks, with surgical incision and drainage of the purulent lymphadenitis. Conclusion. Atypical forms of CSD could be an important differential-diagnostic problem, especially if there is no opportunity for serological confirmation of the disease.

scholarly journals Transverse Myelitis in 2 Patients With Bartonella henselae Infection (Cat Scratch Disease)

2007 ◽  
Vol 45 (4) ◽  
pp. e42-e45 ◽  
Author(s):  
P. Baylor ◽  
A. Garoufi ◽  
T. Karpathios ◽  
J. Lutz ◽  
J. Mogelof ◽  
...  
Keyword(s):  
Bartonella Henselae ◽  
Transverse Myelitis ◽  
Cat Scratch Disease

scholarly journals Cat-Scratch Disease Pneumonia: An Atypical Presentation

2020 ◽  
Vol 7 (09) ◽  
pp. 4966-4972
Author(s):  
Fotis Konstantinou, ◽  
Ioanna Skrapari ◽  
Asimoula Megkou ◽  
Evangelos Kokkinakis
Keyword(s):  
Bartonella Henselae ◽  
Rare Complication ◽  
Cutaneous Lesion ◽  
Pulmonary Involvement ◽  
Immunocompetent Patient ◽  
Common Disease ◽  
Atypical Presentation ◽  
Cat Scratch Disease ◽  
Review Of The Literature ◽  
Uncommon Presentation

Purpose: Cat-scratch disease is caused by Bartonella henselae infection and it commonly presents in children with a mild cutaneous lesion and adjacent lymphadenitis. It has rarely been observed that it can present as a disseminated infection, such as encephalitis or pneumonia. We present a case report of a 35-year old, immunocompetent, patient who suffered pneumonia and encephalitis, resulting from Bartonella henselae infection. We also present a review of the literature published regarding this rare complication. Methods: We’ve searched the literature in the databases of Pubmed and Google Scholar to find articles that report pulmonary presentations of cat-scratch disease. Results: We’ve found only 16 other reported similar cases with pulmonary involvement in cat-scratch disease. Conclusions: Pulmonary presentation in cat-scratch disease is an uncommon presentation of a common disease, and it should be ruled out, even in cases it seems unlikely.  

CAT SCRATCH DISEASE: NONBACTERIAL REGIONAL LYMPHADENITIS

PEDIATRICS ◽  
1968 ◽  
Vol 42 (5) ◽  
pp. 803-818
Author(s):  
A. M. Margileth
Keyword(s):  
Skin Test ◽  
Preventive Measures ◽  
Etiologic Agent ◽  
Symptomatic Therapy ◽  
Atypical Pneumonia ◽  
Cat Scratch Disease ◽  
Atypical Form ◽  
History Of ◽  
Parinaud’S Oculoglandular Syndrome ◽  
Benign Course

Of 145 patients with nonbacterial lymphadenitis observed over a period of 10 years, 115 had clinical cat scratch disease (CSD) with a positive cat scratch antigen skin test. In this group 86% had a typical benign course of CSD; the remaining 16 (14%) had an atypical form. These unusual forms were: Parinaud's oculoglandular syndrome in 7, encephalopathy in 3, atypical pneumonia in 2, and recurrent suppurative lymphadenopathy in 1. Two typical cases occurred after a dog scratch or bite, and one after a monkey scratch. The disease was most prevalent in late fall and early winter; 80% of patients were under age 20 years. Primary lesions were detected in 55%, node suppuration occurred in 26%, and lymphadenopathy lasted 2 weeks to 2 months in most patients. Symptoms were absent in 35% of cases. Fever occurred in 26%, and exanthem was present in 4%. Lymphadenopathy was most common in the extremities (57%), and head and neck (43%). Cat scratch antigen was found to be a reliable diagnostic skin test. A negative test was found in 98% of control patients; a positive test was found in 94% of patients who were clinically suspected to have CSD and a history of cat scratch. Management consisted of reassurance, symptomatic therapy, and closed aspiration of enlarged nodes if suppuration occurred. Antibiotics were not effective. The disease is self-limited and has an excellent prognosis in the majority of patients. An etiologic agent could not be isolated in this study. Until the causative agent is known, it will be difficult to carry out preventive measures.

scholarly journals Disseminated Cryptococcosis revealed by transverse myelitis in Immunocompetent patient: a case report and review of the literature

BMC Neurology ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Fangfang Qu ◽  
Zhenzhen Qu ◽  
Yingqian Lv ◽  
Bo Song ◽  
Bailin Wu
Keyword(s):  
Spinal Cord ◽  
Amphotericin B ◽  
Transverse Myelitis ◽  
Immunocompetent Patient ◽  
Lower Limbs ◽  
Coxsackie Virus ◽  
Gadolinium Contrast ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Cord Injury

Abstract Background Transverse myelitis (TM) is due to inflammatory spinal cord injury with bilateral neurologic involvement, which is sensory, motor, or autonomic in nature. It may be associated with autoimmune disease, vaccination, intoxication and infections. The most common infection cause of TM is Coxsackie virus and Mycoplasma pneumoniae. The cryptococcosis is rare. We present the case of disseminated cryptococcosis revealed by transverse myelitis in an immunocompetent 55-year-old male patient. The literature review is also stated. Case presentation The 55-year-old man suffered from gradual numbness, weakness in both lower limbs and finally paralyzed in the bed. The thoracic spine Computed tomography (CT) was normal, but multiple nodules in the lung were accidentally discovered. Thoracic Magnetic Resonance Imaging (MRI) showed diffused thoracic spinal cord thickening and extensively intramedullary T2 hyper intensity areas. Gadolinium contrast enhanced T1WI showed an intramedullary circle-enhanced nodule at 9th thoracic level. Diagnosis was made by histological examination of the bilateral lung biopsy. The patient was treated successfully with systemic amphotericin B liposome and fluconazole and intrathecal dexamethasone and amphotericin B liposome. Conclusions This is a patient with disseminated cryptococcosis involving the lung, spinal cord and adrenal glands, which is rare in the absence of immunodeficiency.

scholarly journals Cervical Cat Scratch Disease Lymphadenitis in a Patient with Immunoglobulin M Antibodies to Toxoplasma gondii

2002 ◽  
Vol 9 (2) ◽  
pp. 496-498
Author(s):  
Mardjan Arvand ◽  
Ilkay Kazak ◽  
Sergije Jovanovic ◽  
Hans-Dieter Foss ◽  
Oliver Liesenfeld
Keyword(s):  
Toxoplasma Gondii ◽  
Clinical Symptoms ◽  
Bartonella Henselae ◽  
Cervical Lymphadenopathy ◽  
Immunoglobulin M ◽  
Cat Scratch Disease ◽  
Specific Immunoglobulin ◽  
Acute Toxoplasmosis

ABSTRACT We report on a young patient with chronic cervical lymphadenopathy and serological and histological evidence for infection with Bartonella henselae and Toxoplasma gondii. Serological follow-up studies, including testing for avidity of Toxoplasma-specific immunoglobulin G antibodies, assisted in the determination of the cause of the acute lymphadenitis. Our results suggest that the clinical symptoms were most likely due to cat scratch disease rather than to acute toxoplasmosis.

Positional Hand Pallor and Isolated Epitrochlear Lymphadenitis Secondary to Bartonella henselae Infection.

2021 ◽  
Vol 20 (4) ◽  
pp. 914-917
Author(s):  
Siti Nuradliah Jamil ◽  
Ilham Ameera Ismail ◽  
Siti Fatimah Badlishah Sham ◽  
Norliana Dalila Mohamad Ali
Keyword(s):  
Lymph Node ◽  
Communicable Disease ◽  
Bartonella Henselae ◽  
Medical Science ◽  
Neck Region ◽  
Rare Condition ◽  
Cat Scratch Disease ◽  
Serological Evidence ◽  
External Compression ◽  
Head And Neck Region

Cat scratch disease is a communicable disease caused by the Bartonella henselae bacteria. Regional lymphadenopathy is the hallmark of cat scratch disease and about 75% of lymphadenopathy cases are localized in the head and neck region. An epitrochlear lymphadenopathy is a rare condition at any age and often misdiagnosed as it is not normally palpable. External compression of an enlarged epitrochlear lymph node compromising vascularity was not mentioned in any literature before. We present a case of a 13-year-old girl with right positional ipsilateral hand pallor and epitrochlear lymphadenitis with serological evidence of Bartonella henselae infection. Bangladesh Journal of Medical Science Vol.20(4) 2021 p.914-917

A Case of Fatal Disseminated Bartonella henselae Infection (Cat-Scratch Disease) With Encephalitis

2007 ◽  
Vol 131 (10) ◽  
pp. 1591-1594
Author(s):  
Brandy Fouch ◽  
Susan Coventry
Keyword(s):  
Bartonella Henselae ◽  
Neurologic Manifestations ◽  
Cat Scratch Disease ◽  
Systemic Dissemination ◽  
Lymphocytic Infiltrates ◽  
The Brain ◽  
Limited Process

Abstract Cat-scratch disease resulting from Bartonella henselae infection is usually a benign, self-limited process in immunocompetent children. Even the rare cases associated with neurologic manifestations are not generally fatal. We report a case of a previously healthy 6-year-old boy with cat-scratch disease, systemic dissemination, and encephalitis that led to his death. Autopsy revealed perivascular lymphocytic infiltrates and microglial nodules in the brain. To our knowledge, this finding has not been previously reported in B henselae infection, possibly because of the paucity of material available for complete neuropathologic evaluation. This case illustrates the extreme severity of the spectrum with which cat-scratch disease can present and provides evidence of brain histopathology that may be representative of the disease.

The Bartonella henselae sucB gene encodes a dihydrolipoamide succinyltransferase protein reactive with sera from patients with cat-scratch disease

2004 ◽  
Vol 53 (12) ◽  
pp. 1221-1227 ◽  
Author(s):  
Christine M Litwin ◽  
Joel M Johnson ◽  
Thomas B Martins
Keyword(s):  
Coxiella Burnetii ◽  
Brucella Melitensis ◽  
Bartonella Henselae ◽  
Immunoblot Analysis ◽  
Cross Reactivity ◽  
Cosmid Library ◽  
Cat Scratch Disease ◽  
Igg Antibodies ◽  
Bacillary Angiomatosis ◽  
Dihydrolipoamide Succinyltransferase

Bartonella henselae is a recently recognized pathogenic bacterium associated with cat-scratch disease, bacillary angiomatosis and bacillary peliosis. A recombinant clone expressing an immunoreactive antigen of B. henselae was isolated by screening a genomic DNA cosmid library by Western blotting with sera pooled from patients positive for B. henselae IgG antibodies by indirect immunofluorescence (IFA). The deduced amino acid sequence of the 43.7 kDa encoded protein was found to be 76.3 % identical to the dihydrolipoamide succinyltransferase enzyme (SucB) of Brucella melitensis. SucB has been shown to be an immunogenic protein during infections by Brucella melitensis, Coxiella burnetii and Bartonella vinsonii. The agreement between reactivity with a recombinant SucB fusion protein on immunoblot analysis and the results obtained by IFA was 55 % for IFA-positive sera and 88 % for IFA-negative sera. Cross-reactivity was observed with sera from patients with antibodies against Brucella melitensis, Mycoplasma pneumoniae, Francisella tularensis, Coxiella burnetii and Rickettsia typhi.

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