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Key Clinical Message  We present a 12‐year‐old immunocompetent girl with hepato splenic cat‐scratch disease (CSD). Her sole inaugural complaint was isolated epigastric pain. She fully recovered, with normalized abdominal  CT  scan following 2 weeks course of Azythromycin ® .  CSD  should be included in differential diagnosis in children with epigastric pain, especially in those with domestic pets.

Atypical manifestation of cat‐scratch disease: isolated epigastric pain in an immunocompetent, 12‐year‐old child