Issue: 2008 > April > case report

Visceral involvement in an immunocompetent male: a rare presentation of cat scratch disease

M. van der Veer-Meerkerk, H.C.T. van Zaanen


We report a case of an adult, immunocompetent male
with lymphadenopathy of both groins, para-aortal lymph
nodes and multiple lesions in the spleen. A neoplasm
was excluded by histology of the largest lymph node from the left groin. The diagnosis of cat-scratch disease (CSD ) became apparent when serological testing for <i>Bartonella henselae</i> showed to be positive. A review of literature shows that disseminated (visceral) infection is a rare presentation of CSD.