We report a case of a 10-year-old child, who presented with headache, nausea and fever in the past 72 hours. Past medical history was insignificant; parents did not signal any helpful information. Laboratory tests and radiology imaging were normal except for high inflammatory indices and modest spleen enlargement. Rotavirus infection was isolated from the blood cultures.
We want to describe this unusual case of cat-scratch disease presenting with soft mono-lateral optic nerve involvements without the typical scratch related regional lymphadenopathy in order to highlight the heterogeneous presentation of Bartonella Henselae infection, especially in children. Therefore, we should consider cat-scratch disease in any patients with FUO and unspecific systemic symptoms even if there is not a recent cat relate contact and a typical clinical presentation.
Mirri G, Cavagna R, Pontari S, Borrominia A, Martinelli N and Maggiore F
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