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2003:
Le Tallec Véronique; Abgueguen Pierre; Pichard Eric; Chennebault Jean-Marie; Bellec Véronique; Delbos Valérie; Rousselet Marie-Christine; Dib Nina; Boyer Jean
[Hepatosplenic localization of cat scratch disease in immunocompetent adults. Two cases]
Gastroentérologie clinique et biologique 2003;
27(
2):.
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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