Family-Pigné D, Mouchet B, Lousteau V, Borie MF, Deforges L, Lesprit P, Godeau B. Atteinte hépatosplénique de la maladie des griffes du chat : à propos de deux observations chez l'immunocompétent.
Rev Med Interne 2006;
27:772-5. [PMID:
16959382 DOI:
10.1016/j.revmed.2006.06.010]
[Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2006] [Accepted: 06/10/2006] [Indexed: 11/25/2022]
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.
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