[Hepatosplenic localization of cat scratch disease in immunocompetent adults. Two cases]. / Localisations hépatospléniques de la maladie des griffes du chat chez l'adulte immunocompétent. Deux cas.
Gastroenterol Clin Biol
; 27(2): 225-9, 2003 Feb.
Article
em Fr
| MEDLINE
| ID: mdl-12658133
ABSTRACT
The infective agent responsible for cat scratch disease, Bartonella henselae, is a rare cause of hepatic granulomatosis in immunocompetent adults. Clinical features include a prolonged fever or more typical symptoms such as lymphadenopathy associated with painful hepatomegaly and a fever following a cat scratch or bite. Images of micronodular hepatosplenic lesions on abdominal ultrasonography or computed tomography scan along with epithelioid granulomas in a liver biopsy can suggest this diagnosis. It is established with a serology by indirect immunofluorescence or by ELISA and/or the presence of Bartonella henselae DNA evidenced by PCR in the liver biopsy. We report two cases of hepatosplenic localizations of cat scratch disease in a 41-year-old woman and a 44-year-old man presenting asthenia and fever associated with a biological inflammatory syndrome and elevated liver enzymes.
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Base de dados:
MEDLINE
Assunto principal:
Esplenopatias
/
Doença da Arranhadura de Gato
/
Hepatopatias
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
Fr
Ano de publicação:
2003
Tipo de documento:
Article