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Jeanne Ackerman, MD; Patricia J. Emmanuel, MD; Enid Gilbert-Barness, MD

Arch Pediatr Adolesc Med. 1995;149(7):821-822.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A 6-YEAR-OLD boy complained of evening fevers, with a temperature of 38.9°C to 39.4°C and diffuse abdominal pain for 9 days. He denied any chills, vomiting, or change in bowel habits or appetite. The patient lived with his mother and two brothers in a trailer home with well water. He denied any exposure to pets. Physical examination revealed a diffusely tender abdomen with bilateral inguinal and cervical adenopathy. Ultrasonography and a computed tomographic scan of the abdomen confirmed both liver and spleen abscesses. A splenectomy and liver biopsy were performed, and histologic sections of the liver (Figure 1 and Figure 2) and spleen (Figure 3 and Figure 4) are shown below.

Diagnosis and Discussion

Systemic Cat-scratch Disease

After an extensive workup for bacterial, viral, and fungual sources, a diagnosis of systemic catscratch disease . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Pathology and Laboratory Medicine (Drs Ackerman and Gilbert-Barness) and Pediatrics (Dr Emmanuel), University of South Florida, Tampa.

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