Approximately 24,000 people are infected with cat scratch disease (CSD) every year. CSD is caused by Bartonella henselae, a gram-negative bacteria most often transmitted to humans through a bite or a scratch from an infected cat or kitten. We report a rare case of CSD with spleen localisation in a 34-year-old patient. CT scan was performed - hepatosplenomegaly liver 233/181mm, spleen 163mm with multiple focal hypoechogenic lesions. Lymphadenopathy in the regions of the aorta, lower caval vein, mesentery vessels and inguinal lymphadenopathy the largest size of which being 20 mm were found. The patient underwent a splenectomy. Postoperative therapy was held with Metronidazole 3x1fl and Cefazoline 3x2 g for five days. At the six-month follow-up the patient reported no complaints. Serological tests were repeated - antibodies against Bartonella henselae - IgG past medical history for feline disease.
Bitterman H, Cohen L: Retroperitoneal lymphadenopathy in cat scratch syndrome. Harefuah 108:21-23, 1985
Inglis JA, Tonge JI: A disease with visceral granulomatous lesions of unknown etiology. Med J Aust 1-433-436, 1950.)
Giladi M, Maman E, Paran D, et al. Cat-scratch disease-associated arthropathy. Arthritis Rheum. 2005;52:3611-3617
Gray AV, Michels KS, Katsuya Lauer A, Samples JR. Bartonella henselae infection associated with neuroretinitis, central retinal artery and vein occlusion, neovascular glaucoma, and severe vision loss. Am J Ophthalmol. 2004;137:187-189.
Greenbaum B, Nelson P, Marchildon M, et al: Hemolytic anemia and hepatosplenomegaly associated with cat-scratch fever. J Pediatr 108:428-430, 1986.)
Hadfield TL, Malaty RH, Van Dellen A, et al: Electron microscopy of the bacillus causing catscratch disease. J Infect Dis 152:643-645, 1985.
Kinlaw WB: Cat scratch disease: Report of a case presenting hepatosplenomegaly. Conn St Med J 18:960-962, 1954.
Korbitz BC: Systemic cat scratch disease with hepatosplenomegaly, multiple lymphadenopathy and hepatic dysfunction. Rocky Mt Med J 70:23-27, 1973.
Loutit JS. Contemporary management of cat-scratch disease. Clin Advisor. 2001;30-35.
Raoult D, Fournier PE, Drancourt M, et al. Diagnosis of 22 new cases of Bartonella endocarditis. Ann Intern Med. 1996;125:646-652
Magno S.L. and Spatar L. Cat Scratch Disease in Primary Care The Journal for Nurse Practitioners - JNP Vol 5, Issue 5, May 2009
Rocco VK, Roman M, Eigenbrodt EH: Cat scratch disease: Report of a case with hepatic lesions and a brief review of the literature. Gastroenterol 8911400- 1406, 1985.
Vanlemmens R., J.M. Estavoyer, et al. Localisations hépatiques et splédniques de la maladie des griffes du chat. A propos de trois observations. Méd Mal Infect. 1995; 25,577-83
Winship T: Cat scratch disease in children. C2zn Proc Child Hosp, Washington, DC 9:244-247, 1953.
Email this article (Login required) 
