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Splenic abscesses in cat scratch disease: Sonographic diagnosis and follow-up

✍ Scribed by Frederick Cox; Sharon Perlman; Sathyanarayana

Publisher: John Wiley and Sons
Year: 1989
Tongue: English
Weight: 316 KB
Volume: 17
Category: Article
ISSN: 0091-2751
DOI: 10.1002/jcu.1870170709

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✦ Synopsis

Cat scratch disease is a regional, infectious lymphadenitis caused by a pleomorphic, gram-negative bacillus.' Most patients have a history of a cat scratch or contact. Extension beyond the local site occurs in about 14% of patients, resulting in encephalitis, osteomyelitis, peritonitis, pneumonia, exanthems, and hepatosplenomegaly. Splenomegaly is uncommon and has been reported in only 24 patients in the literature. '-13 The splenic lesions of cat scratch disease are usually m ~l t i p l e , ' ~~" ~ and consist of granulomatous inflammation with abscess f ~r m a t i o n . ~ Radiographic confirmation of splenic involvement has been described only t ~i c e . ~, ' ~

In one case a computed tomography scan of the spleen re-From the Departments of

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