Author/Authors :
Gilliaux، Olivier نويسنده Department of Pediatrics, Hôpital Civil Marie Curie,
Charleroi, Belgium , , Ghilain، Valerie نويسنده Department of Pediatrics, Cliniques Universitaires
Saint-Luc, Université catholique de Louvain (UCL), Brussels,
Belgium , , van der Linden، Dimitri نويسنده Department of Pediatrics, Cliniques Universitaires
Saint-Luc, Université catholique de Louvain (UCL), Brussels,
Belgium , , Stalens، Jean Philippe نويسنده Department of Pediatrics Centre, Centre hospitalier
Wallonie Picarde, Tournai, Belgium , , Heijmans، Catherine نويسنده Department of Pediatrics, Centre hospitalier de Jolimont,
Haine-Saint-Paul, Belgium , , Louis، Jacques نويسنده Department of Pediatrics, Grand hôpital de Charleroi,
Charleroi, Belgium , , Vermylen، Christiane نويسنده Department of Pediatrics, Cliniques Universitaires
Saint-Luc, Université catholique de Louvain (UCL), Brussels,
Belgium , , Chantrain، Christophe F. نويسنده Department of Pediatrics, Division of Pediatric Hematology
Oncology, Clinique de l’Espérance, Centre Hospitalier Chrétien,
Montegnée, Belgium ,
Abstract :
Cat scratch disease (CSD) is an infectious disease caused by the Gram-negative rod Bartonella henselae (BH). It usually leads to subacute loco-regional lymphadenitis occasionally associated with fever. In most of the cases, it resolves spontaneously within 4 - 6 weeks. However, CSD has also been associated with other atypical presentations. We reported a series of seven children with unusual symptoms of CSD. In particular, we described the case of a child with ptosis, miosis and enophtalmy, suggesting Horner syndrome, associated with cervical lymphadenitis. Cat scratch was mentioned in only one patient, while four of them mentioned a recent contact with cats. We reviewed and discussed the incidence of these atypical presentations of CSD as well as the therapeutic approaches recommended and the available diagnostic tools. This paper highlighted the need to exclude CSD in children with unexplained symptoms such as prolonged fever, hepatosplenic lesion and osteomyelitis.
