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Scripta Scientifica Medica

Cat scratch disease

Vasil Bozhkov, Rosen Madjov, Ilko Plachkov, Plamen Arnaudov, Plamen Chernopolsky, Ivan Krasnaliev

Abstract

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.


Keywords

Bartonella henselae; cat scratch disease; cat scratch fever

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DOI: http://dx.doi.org/10.14748/ssm.v46i2.687

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About The Authors

Vasil Bozhkov
Medical University of Varna
Bulgaria

Second Department of Surgery, St. Marina University Hospital

Rosen Madjov
Medical University of Varna
Bulgaria

Second Department of Surgery, St. Marina University Hospital

Ilko Plachkov
Medical University of Varna
Bulgaria

Second Department of Surgery, St. Marina University Hospital

Plamen Arnaudov
Medical University of Varna
Bulgaria

Second Department of Surgery, St. Marina University Hospital

Plamen Chernopolsky
Medical University of Varna
Bulgaria

Second Department of Surgery, St. Marina University Hospital

Ivan Krasnaliev
Medical University of Varna
Bulgaria

Department of general and clinical pathology, St. Marina University Hospital

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