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Systemic Cat-Scratch Disease: a "Troublesome" Diagnosis.

Marco Sarno, Francesco Maria Rosanio, Daniele De Brasi, Claudio Santoro, Andrea Lo Vecchio, Francesco Esposito, Paolo Siani, Pietro Vajro, Claudia Mandato
Pediatric Infectious Disease Journal 2021 March 2
Diagnosis of systemic cat scratch disease may be challenging. Here, we describe a case of an immunocompetent girl exhibiting fever and multifocal hepatosplenic abscesses. Diagnostic tests for Bartonella henselae infection (enzyme immunoassay and polymerase chain reaction) were found steadily negative and the diagnosis, suspected on the basis of the Margilet's criteria, was finally confirmed by indirect immunofluorescent antibodies.

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