Abstract
INTRODUCTION: Cat Scratch Disease (CSD) presents most commonly with fever and lymphadenopathy, but up to 25% of cases develop systemic manifestations. OBJECTIVE: to report a pediatric case of hepatosplenic form of CSD. METODOLOGY: this is a case report of a nine-year-old child hospitalized from October to November 2019. The report was written based on medical records and literature review, through Pubmed platform. Informed consent was given by the legal sponsor and the assent by the child. RESULT: a nine-year-old girl presents with swollen, tender and erythematous nodes in the right popliteal fossa and fever. Initial suspicion was of cellulitis, complicated with a popliteal abscess. Treatment was initiated with oxacillin for 3 days and later on with clindamycin and ceftriaxone for 11 days. On the eleventh day of hospital stay, the patient manifested hepatosplenic abscesses and antibiotic treatment was upscaled to vancomycin and piperacillin-tazobactam until she was diagnosed with a hepatosplenic form of CSD, which happened seventeen days after admission. Therefore, treatment was provided with Rifampicin and Clarithromycin for 14 days, with significant clinical improvement. CONCLUSION: this report aims to raise awareness regarding the wide clinical spectrum of this infection and how to better manage it.
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