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Acta Médica Peruana

On-line version ISSN 1728-5917


CARCAUSTO HUAMANI, Eduardo. Hepatosplenic peliosis by cat scratch disease: report of a case. Acta méd. Peru [online]. 2016, vol.33, n.4, pp.309-312. ISSN 1728-5917.

This is the case of a 73-year-old female patient who presented with progressive dyspnea, diurnal fever, hyporexia and headache lasting for 10 days. She had a past medical history of an ovarian neoplasia, chronic gastritis and pulmonary thromboembolism. Fever continued despite conventional antibiotic treatment. Her physical examination revealed pulmonary involvement and bilateral inguinal adenopathy, the latter was corroborated with soft tissue ultrasound. Cultures performed were reported as negative and a chest X-ray film showed pleuro-parenchymal involvement in the left pulmonary base. An abdominal CT scan showed hepatosplenomegaly with multiple hypodense images (peliosis); and serological studies were compatible with Bartonella henselae. Doxyciclin 100 mg every 12 hours was started, and the patient started recovering uneventfully 72 hours after therapy was instituted

Keywords : Peliosis hepatis; Bartonella henselae; Fever; Bartonella infections.

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