Scimago Lab
powered by Scopus
call: +1.631.470.9640
Mon-Fri 10 am - 2 pm EST


Medical Science Monitor Basic Research


eISSN: 1643-3750

Get your full text copy in PDF

Cat-scratch disease in an immunocompromised host.

Simin Pour Schahin, Alexander Schmelzer, Eckhart Georg Hahn, Igor Alexander Harsch, Peter Christopher Konturek

Med Sci Monit 2002; 8(3): CS26-29

ID: 420899

BACKGROUND: The main causative agents of cat-scratch disease are Bartonellahenselae, tiny, gram-negative bacilli. The disease usually has a benign course with the development ofa papule at the inoculation site, followed by regional lymphadenopathy. In most cases, complete resolutionoccurs, but in immunocompromised hosts, the course of the disease can be aggravated. CASE REPORT: A patientreceived methotrexate and corticosteroids for 3 months due to rheumatoid arthritis. He developed fever,exanthema and leukopenia under methotrexate therapy. Dark red indurations with central ulcerations athis right thigh revealed a further problem apart from the methotrexate-induced leucopenia and immunosuppression.The ulcerations were the remainders of recurrent scratches from the patient's cat. The patient's antibodytiters against Bartonella henselae remained low and inguinal lymph node swelling was only for a shorttime to be observed, this reaction obviously weakened as a result of the immunosuppression. However,the typical course, the exclusion of other reasons for the exanthema and the rapid improvement of thepatient's condition after antibiotic treatment ascertained the diagnosis. CONCLUSIONS: In immunocompromisedhosts, diseases with a typically benign course can become severe and life-threatening illnesses. Ownershipof pets should be taken into consideration before onset of an immunosuppressive therapy.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
I agree