Cat-scratch disease: report of a case with liver lesions and no lymphadenopathy

Journal Article · Mon Aug 01 00:00:00 EDT 1988 · J. Nucl. Med.; (United States)

OSTI ID:7074355

Delbeke, D; Sandler, M P; Shaff, M I; Miller, S F

The usual presentation of cat-scratch disease (CSD) is a subacute regional lymphadenitis following cutaneous inoculation. We present the case of a 10-yr-old white female with a 4-wk history of abdominal pain and fever, without associated lymphadenopathy. A /sup 67/Ga scintigram showed inhomogenous uptake by the liver. An abdominal computed tomographic (CT) scan revealed multiple low density lesions in the liver and the spleen, that were confirmed at laparotomy. Stellate microabscesses were seen on a wedge biopsy of the liver and a CSD antigen skin test was positive. CSD should be considered in the differential diagnosis of liver lesions, even in the absence of lymphadenopathy. This case emphasizes the importance of inhomogeneous /sup 67/Ga uptake by the liver.

• Research Organization: Vanderbilt Univ. Medical Center, Nashville, TN (USA)
• OSTI ID: 7074355
• Journal Information: J. Nucl. Med.; (United States), Vol. 29:8
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BACTERIAL DISEASES
DIAGNOSIS
GALLIUM 67
UPTAKE
LIVER
SCINTISCANNING
BIOPSY
COMPUTERIZED TOMOGRAPHY
SPLEEN
BETA DECAY RADIOISOTOPES
BODY
COUNTING TECHNIQUES
DAYS LIVING RADIOISOTOPES
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
DISEASES
ELECTRON CAPTURE RADIOISOTOPES
GALLIUM ISOTOPES
GLANDS
INFECTIOUS DISEASES
INTERMEDIATE MASS NUCLEI
ISOTOPES
NUCLEI
ODD-EVEN NUCLEI
ORGANS
RADIOISOTOPE SCANNING
RADIOISOTOPES
TOMOGRAPHY
550601* - Medicine- Unsealed Radionuclides in Diagnostics