Cat scratch disease (CSD) is a disease caused by Bartonella henselae infection which presents fever, lymphadenopathy with pain, physical weariness after bite or scratch by a cat. Few case reports have described patients with CSD with multiple granulomas in liver and spleen.
The patient was an 8-year-old boy who presented prolonged fever without other symptoms. His abdominal Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) showed multiple round lesions in liver and spleen. By these findings and elevated serum IgG of Bartonella henselae, he was diagnosed with CSD.
Abdominal CT and MRI were useful for diagnosing this atypical CSD.
