Cat-scratch disease, ¿does it always present with lymphadenopathy?: A case report

Abstract

Cat-scratch disease (CSD) is a zoonotic disease, caused by Bartonella henselae, a gram-negative bacillus, that has a variable clinical presentation and must be suspected in immunocompetent patients or immunocompromised patients with prolonged febrile syndrome of unknown origin that have history of interaction with cats. Diagnosing CSD may be challenging, so clinical suspicion and a thorough clinical interview and workup are essential to come up with a definitive conclusion. Typically, CSD presents with regional lymphadenopathies and subsequent systemic compromise. However, it can present with a unique manifestation such as hepatosplenic compromise. Herein, we present a patient with prolonged febrile syndrome with systemic symptoms and reticuloendothelial compromise.