Scratching Past Lymphadenopathy: A Case of Bartonella henselae Encephalitis

被引：2

作者：

James, Lorraine ^{[1
]}

Keshwani, Najiba ^{[2
,3
]}

Haffner, Darrah ^{[3
]}

Zahlanie, Yorgo ^{[2
,3
]}

Golla, Sailaja ^{[2
,3
]}

Agharokh, Ladan ^{[3
,4
]}

机构：

[1] Univ Texas UT Southwestern Med Ctr, Dallas, TX USA

[2] UT Southwestern Med Ctr, Dallas, TX USA

[3] Childrens Med Ctr, Dallas, TX 75235 USA

[4] UT Southwestern Med Ctr, Dept Pediat, Dallas, TX USA

来源：

PEDIATRIC ANNALS | 2020年 / 49卷 / 08期

关键词：

DOMESTIC CAT; RISK-FACTORS; DISEASE; INFECTION; RESERVOIR;

D O I：

10.3928/19382359-20200713-01

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

A previously healthy 6-year-old boy presented with new onset seizure activity and altered mental status. His prehospital course included prolonged fever, vague abdominal complaints, and unusual behavior. Neurological testing was unrevealing, and his symptoms slowly improved without intervention. His primary pediatrician had ordered serum antibody titers to Bartonella henselae for testing of prolonged fever in the setting of exposure to a kitten; these were found to be positive for both immunoglobulin G and immunoglobulin M. Further examination for organ involvement revealed splenic and liver micro-abscesses. After completion of his antibiotic course, the patient returned to his cognitive and neurologic baseline with resolution of his abdominal abscesses. This case emphasizes the importance of obtaining a thorough exposure history when evaluating for infectious causes of encephalitis.

引用

页码：E359 / E362

页数：4

共 32 条

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