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

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.
Authors:
; ; ;
Publication Date:
OSTI Identifier:
7074355
Resource Type:
Journal Article
Resource Relation:
Journal Name: J. Nucl. Med.; (United States); Journal Volume: 29:8
Research Org:
Vanderbilt Univ. Medical Center, Nashville, TN (USA)
Country of Publication:
United States
Language:
English
Subject:
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