A Case of Atypical Cat Scratch Disease with Fever, Diarrhea and Cough without Lymphadenopathy.

Abstract

A 75-year-old woman visited our hospital with a high fever, diarrhea and cough. Her blood tests showed mild liver dysfunction and elevated CRP and CT scan revealed no abnormal findings. She had kept a cat since 2 months ago. Blood tests showed high level of Bartonella henselae antibody titer and she was diagnosed with cat scratch disease. Her symptoms were rapidly improved after Minocycline administration. This study suggests that it is important to consider cat scratch disease in the differential diagnosis of fever of unknown origin.