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Título : Hepatosplenic abscesses in an immunocompetent child with cat-scratch disease from Peru
Autor : Alfaro Del Pozo, Alexis
Angulo Cruzado, Michelle
Amenero Vega, Ricardo
Álvarez Lulichac, Alexander
Fernández Cosavalente, Hugo
Barboza Meca, Joshuan
Rodríguez Morales, A. J.
Palabras clave : Amoxicillin plus clavulanic acid
Bartonella henselae
Respiratory tract infection
Preschool child
Drug substitution
Protein blood leve
Fibrinogen
Fecha de publicación : jul-2019
Editorial : BioMed Central
Resumen : Background: Cat-scratch disease (CSD) is a zoonotic infection caused by Bartonella henselae and B. clarridgeiae. The typical manifestations of CSD include regional lymphadenitis and fever. However, CSD can have a wide variety of clinical manifestations that can lead to incorrect diagnoses and prolonged hospital stays. Case presentation: We present a case of a 3-year-old boy admitted to the pediatric service due to prolonged fever and abdominal pain. He received empirical antimicrobial treatment due to suspicion of infection. Abdominal ultrasound showed hepatosplenic abscesses. An IFA detected the presence of IgG antibodies against B. henselae (1:256). Patient was successfully treated with azithromycin and discharged after 7 weeks. Conclusions: Hepatosplenic abscesses in CSD are rarely reported, particularly in immunocompetent children, with this, only 36 cases in PubMed, Web of Sciences and Scopus bibliographical databases. High rate of suspicion and serological tests availability are of utmost importance in order to detect it and treat it successfully and promptly.
URI : http://repositorio.usil.edu.pe/handle/USIL/9113
http://dx.doi.org/10.1186/s12941-019-0322-0
ISSN : 1476-0711
Aparece en las colecciones: Artículos Académico-científicos

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