Introduction. Cat scratch disease (CSD) is an acute infectious disease with
benign course caused by the bacteria Bartonella henselae. Clinically, it is
usually manifested as regional lymphadenopathy and mild infective syndrome.
Rare forms of the disease which usually occur in immunocompromised presons
are: encephalitis, transverse myelitis, neuroretinitis, granulomatosus
conjunctivitis, arthritis, hepatitis etc. Case report. We presented an
atypical form of cat scratch disease in a young immunocompetent female
person. The disease was manifested with prolonged fever, rash, purulent
lymphadenitis and hepatitis. The diagnosis was based on characteristic
patohystological finding and exclusion of the other causes of
lymphadenopathy. The patient was treated by antibiotics for a few weeks, with
surgical incision and drainage of the purulent lymphadenitis. Conclusion.
Atypical forms of CSD could be an important differential-diagnostic problem,
especially if there is no opportunity for serological confirmation of the
disease.
Transverse Myelitis Associated with Probable Cat-Scratch Disease in a Previously Healthy Pediatric Patient