Cat scratch disease: case report in a child
Enfermedad por arañazo de gato: reporte de caso en un niño
DOI:
https://doi.org/10.57188/ricsa.2026.009Keywords:
Bartonella Henselae; Lymphadenopath; Cat scratch; Tumbes. (Fuente: DeCS-BIREME)Abstract
Introduction: Bartonella Henselae is a gram-negative bacterium that lives in cats that come into direct contact with feces and bites from infected fleas. Case report: A 5-year-old boy presented with prolonged fever and painful lymphadenopathy on the right side of his face. The diagnosis was confirmed by indirect immunofluorescence testing for IgM and IgG antibodies against Bartonella Henselae. Discussion: The clinical presentation was consistent with a case of cat scratch disease, exhibiting its typical clinical manifestations. The patient's recovery was long, favorable, and without sequelae, as described in the literature. Conclusion: This case highlights the high incidence of prolonged febrile illnesses in the Tumbes Region and the lack of laboratory methods for their timely diagnosis.
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References
1. Aguiar F, Martins T. Seronegative cat scratch disease in a patient with systemic lupus erythematosus. Acta Reumatol Port. 2018;43(3):241-242. Disponible en: https://www.actareumatologica.pt/article.php?id=677
2. Theran J, Dulcey L, Oliveros K. Bartonella henselae agente causal de enfermedad del aran˜azo de gato: descripcio´n de un caso clí´nico y revisio´n de la literatura. Cienc Lat Rev Cient Multidiscip. 2022;6(4):4847-4856.
3. Cedillo M, Pesa´ntez A, Dí´az R, Sandoval PF, Sandoval VF. Enfermedad por aran˜azo de gato: revisio´n bibliogra´fica a propo´sito de un caso. Rev Cientí´fica (Ecuador). 2020;6(2):46-58.
4. Miranda E, Candela J, Dí´az J, Ferna´ndez A, Kolevic L, Patin˜o L, et al. Bartonella henselae en nin˜os con adenitis regional atendidos en un hospital nacional del Peru´, 2012. Rev Peru Med Exp Salud Publica. 2014;31(2):274-277. Disponible en: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/60
5. Nelson CA, Moore AR, Perea AE. Cat scratch disease: U.S. clinicians’ experience and knowledge. Zoonoses Public Health. 2018;65(1):67-73. doi:10.1111/zph.12404
6. Mesa O, Travieso G, Ferrer H, Ga´mez H, Rodrí´guez R, Goví´n JF, et al. Enfermedad por aran˜azo de gato. Rev Cuba Invest Biome´d. 2016;35(3):294-299. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S0864-03002016000300011
7. Tsuneoka H, Stone T. What do health professionals need to know about cat scratch disease? Nurs Health Sci. 2025;27(4):e70243.
8. Sabir S, Daley SF, Huang B. Cat scratch disease. En: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 [citado 2026 mar 29]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK48213 9/
9. Deregibus M, Bagnara E, Buchovsky A. Enfermedad por aran˜azo de gato: experiencia en un hospital pedia´trico de tercer nivel. Arch Argent Pediatr. 2023;121(1):e202202592. doi:10.5546/aap.2022.2592
10. Spach DH, Sheldon L. Microbiology, epidemiology, clinical manifestations, and diagnosis of cat scratch disease. UpToDate [Internet]. 2025.
11. Cardoso TL, Gonçalves JM, Hartwig DD. Bartonella henselae: a challenging diagnosis with a bright future. J Microbiol Methods. 2025;239:107296. doi:10.1016/j.mimet.2024.107296
12. Pennisi MG, Marsilio F, Hartmann K, Lloret A, Addie D, Bela´k S, et al. Bartonella species infection in cats: ABCD guidelines on prevention and management. J Feline Med Surg. 2013;15(7):563-569. doi:10.1177/1098612X13489235
13. Kimberlin DW, Barnett ED, Lynfield R, Sawyer MH, eds. Bartonella henselae (cat-scratch disease). En: Red Book: 2021–2024 Report of the Committee on Infectious Diseases. 32nd ed. Itasca (IL): American Academy of Pediatrics; 2021. p.866.
14. Spach DH, Kaplan SL. Treatment of cat scratch disease. UpToDate [Internet]. 2025.
15. Angelakis E, Raoult D. Pathogenicity and treatment of Bartonella infections. Int J Antimicrob Agents. 2014;44(1):16-25. doi:10.1016/j.ijantimicag.2014.04.006
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