Abstract
IntroductionCat scratch disease is an infectious disease transmitted by young cats, in which the principal causative factor is Bartonella henselae. The typical course of cat scratch disease is usually benign and self-limited and requires only supportive therapy. However, cases lasting up to 2 years have been reported, and more serious complications may occur. Many manifestations of the disease have been reported by different medical disciplines.Case presentationA case of cat scratch disease in a 71-year-old Greek woman with an unusual clinical course is presented here. Serous otitis media was combined with rotational vertigo due to labyrinthitis. The invaded ear was ipsilateral to the inoculation site.ConclusionCervicofacial lymphadenopathy has been demonstrated as the most common otolaryngologic manifestation of cat scratch disease. Manifestation in the middle and inner ear has, to the best of our knowledge, not been reported before. Our report presents a patient with cat scratch disease with clinical signs and symptoms in the middle and inner ear.
Highlights
Introduction: Cat scratch disease is an infectious disease transmitted by young cats, in which the principal causative factor is Bartonella henselae
Many manifestations of the disease have been reported by different medical disciplines
Serous otitis media was combined with rotational vertigo due to labyrinthitis
Summary
Selby and Walker advocated an avasculitic origin of cat scratch disease (CSD) after demonstrating cerebral arteritis in a 7-year-old girl suffering from CSD [1]. Our report presents a patient with CSD with clinical signs and symptoms in the middle and inner ear. During ENT clinical examination and Romberg’s test, the patient tended to fall towards the right. A skin lesion resembling a round, red to brown, non-tender papule was observed on the left subclavicular area during clinical examination (Figure 1). The patient did not report any previous history of influenza or virus infection She mentioned having daily contact with two kittens. This history, along with the skin lesion on the left. Rinne’s test was negative on the left and positive on the right ear, respectively. The first serologic results for Bartonella henselae strengthened our suspicion for CSD (IgM: 20, IgG: 270). Http://jmedicalcasereports.com/jmedicalcasereports/article/view/7405 of IgG blood antibodies confirmed the diagnosis of CSD. The patient was discharged from the hospital symptom-free one week after admission
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