2019 Jan 15;89(4):585-588. doi: 10.23750/abm.v89i4.6070.

Chest Imaging of a rare case of cat-scratch disease in a 2-years-old baby.


Cat-scratch disease (CSD) is usually a self-limiting infection that in the majority of cases occurs as lymphadenitis in children who have been scratched or bitten by a cat. Rarely, Bartonella henselae is cause of fever of unknown origin (FUO), with dissemination to various organs, mimicking an inflammatory rather than a lymphoproliferative disease. This manuscript will present a case of thoracic manifestations of CSD in an immunocompetent 2-years baby without history of cat contact, with fever of unknown origin, investigated by chest CT and MRI.



The myths surrounding Bartonella are getting shattered one by one.  More and more cases are showing immunocompetent people contracting Bart as well as folks who have had no exposure to cats.  Time for NEW Research and open minds!  Bartonella, like so many other pathogens needs an entirely new approach.  Nothing about this should be reported as “rare.”  Nobody has a clue on prevalence!  All the patients denied a history of a cat or any animal contact, or of having CSD findings.  A 1.5-year-old girl who was seen in hospital for the sparing use of her left arm when crawling.  Tested positively for Bartonella henselae.  Case of a 53-year-old healthy man, presenting with confusion.  Serology confirmed Bartonella henselae infection.  Healthy 10 year old girl had coexisting transverse myelitis and Guillain-Barré syndrome (GBS) related to infection with Bartonella henselae.  A 3-year-old female with a recent history of typical CSD involving lymph nodes who developed osteomyelitis of the skull.




%d bloggers like this: