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Spectrum of radiological manifestations of paediatric cat-scratch disease

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Abstract

Cat-scratch disease (CSD) is usually a self-limiting condition that may mimic more serious disorders due to its variable clinical and imaging presentations. Many cases are diagnosed throughout the United States annually, with the majority occurring in children and adolescents who have had contact with a cat, usually in the form of a scratch or bite. This manuscript will discuss the spectrum of radiologic manifestations of CSD emphasising key imaging findings of lymphadenopathy, hepatosplenic lesions, osteomyelitis, discitis, encephalitis, neuroretinitis and cranial neuritis.

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References

  1. Florin TA, Zaoutis TE, Zaoutis LB (2008) Beyond cat scratch disease: widening spectrum of Bartonella henselae infection. Pediatrics 121:e1413–1425

    Article  PubMed  Google Scholar 

  2. Mandle T, Einsele H, Schaller M et al (2005) Infection of human CD34+ progenitor cells with Bartonella henselae results in intraeruthrocytic presence of B. henselae. Blood 106:1215–1222

    Article  PubMed  Google Scholar 

  3. Reddy AK, Morriss MC, Ostrow GI et al (2007) Utility of MR imaging in cat-scratch neuroretinitis. Pediatr Radiol 37:840–843

    Article  PubMed  Google Scholar 

  4. Chian CA, Arrese JE, Pierard GE (2002) Skin manifestations of Bartonella infections. Int J Dermatol 41:461–466

    Article  PubMed  Google Scholar 

  5. Conrad DA (2001) Treatment of cat-scratch disease. Curr Opin Pediatr 13:56–59

    Article  PubMed  CAS  Google Scholar 

  6. Kunz S, Oberle K, Sander A et al (2008) Lymphadenopathy in a novel mouse model of Bartonella-induced cat scratch disease results from lymphocyte immigration and proliferation and is regulated by interferon-alpha/beta. Am J Pathol 172:1005–1018

    Article  PubMed  CAS  Google Scholar 

  7. Arisoy ES, Correa AG, Wagner ML et al (1999) Hepatosplenic cat-scratch disease in children: selected clinical features and treatment. Clin Infect Dis 28:778–784

    Article  PubMed  CAS  Google Scholar 

  8. Mortele KJ, Segatto E, Ros PR (2004) The infected liver: radiologic-pathologic correlation. Radiographics 24:937–955

    Article  PubMed  Google Scholar 

  9. Talenti E, Cesaro S, Scapinello A et al (1994) Disseminated hepatic and splenic calcifications following cat-scratch disease. Pediatr Radiol 24:342–343

    Article  PubMed  CAS  Google Scholar 

  10. Al-Rahawan MM, Gray BM, Mitchell CS et al (2012) Thoracic vertebral osteomyelitis with paraspinous mass and intraspinal extension: an atypical presentation of cat-scratch disease. Pediatr Radiol 42:116–119

    Article  PubMed  Google Scholar 

  11. Rozmanic V, Banac S, Miletic D et al (2007) Role of magnetic resonance imaging and scintigraphy in the diagnosis and follow-up of osteomyelitis in cat-scratch disease. J Paediatr Child Health 43:568–570

    Article  PubMed  Google Scholar 

  12. Seah AB, Azran MS, Rucker JC et al (2003) Magnetic resonance imaging abnormalities in cat-scratch disease encephalopathy. J Neuroophthalmol 23:16–21

    Article  PubMed  Google Scholar 

  13. Cherinet Y, Tomlinson R (2008) Cat scratch disease presenting as acute encephalopathy. Emerg Med J 25:703–704

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. University of Kansas School of Medicine, 3550 Rainbow Blvd., Kansas City, KS, 66103, USA

    Aaron Rohr

  2. Department of Radiology, University of Missouri-Kansas City, 4401 Wornall Road, Kansas City, MO, 64111, USA

    Megan R. Saettele, Suchit A. Patel, Charles A. Lawrence & Lisa H. Lowe

  3. Department of Radiology, Children’s Mercy Hospitals and Clinics, 2401 Gillham Road, Kansas City, MO, 64108, USA

    Charles A. Lawrence & Lisa H. Lowe

Authors
  1. Aaron Rohr
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  2. Megan R. Saettele
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  3. Suchit A. Patel
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  4. Charles A. Lawrence
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  5. Lisa H. Lowe
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Correspondence to Aaron Rohr.

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Rohr, A., Saettele, M.R., Patel, S.A. et al. Spectrum of radiological manifestations of paediatric cat-scratch disease. Pediatr Radiol 42, 1380–1384 (2012). https://doi.org/10.1007/s00247-012-2451-x

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  • DOI: https://doi.org/10.1007/s00247-012-2451-x

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