Open AccessSystemic Cat-Scratch Disease: a “Troublesome” Diagnosis
Author(s) -
Marco Sarno,
Francesco Maria Rosanio,
Daniele De Brasi,
Claudio Santoro,
Andrea Lo Vecchio,
Francesco Esposito,
Paolo Siani,
Pietro Vajro,
Claudia Mandato
Publication year - 2020
Publication title -
the pediatric infectious disease journal/the pediatric infectious disease journal
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.028
H-Index - 140
eISSN - 1532-0987
pISSN - 0891-3668
DOI - 10.1097/inf.0000000000002996
Subject(s) - cat scratch disease , medicine , bartonella henselae , bartonella , immunoassay , polymerase chain reaction , disease , systemic disease , pathology , antibody , immunology , dermatology , virology , serology , biochemistry , chemistry , gene
Diagnosis of systemic cat scratch disease may be challenging. Here, we describe a case of an immunocompetent girl exhibiting fever and multifocal hepatosplenic abscesses. Diagnostic tests for Bartonella henselae infection (enzyme immunoassay and polymerase chain reaction) were found steadily negative and the diagnosis, suspected on the basis of the Margilet's criteria, was finally confirmed by indirect immunofluorescent antibodies.