Adult systemic cat scratch disease associated with therapy for hepatitis C

<p>Abstract</p> <p>Background</p> <p>We describe the first case of systemic cat scratch disease in a patient receiving peginterferon α-2a and ribavirin for treatment of hepatitis C. Cases of adult systemic CSD are extremely infrequent and immunomodulatory treatment for...

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Main Authors: Berenson Charles S, Bhatti Zahida
Format: Article
Language:English
Published: BMC 2007-02-01
Series:BMC Infectious Diseases
Online Access:http://www.biomedcentral.com/1471-2334/7/8
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author Berenson Charles S
Bhatti Zahida
author_facet Berenson Charles S
Bhatti Zahida
author_sort Berenson Charles S
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>We describe the first case of systemic cat scratch disease in a patient receiving peginterferon α-2a and ribavirin for treatment of hepatitis C. Cases of adult systemic CSD are extremely infrequent and immunomodulatory treatment for hepatitis C has been associated with aberrant host responses to common pathogens.</p> <p>Case presentation</p> <p>A 52 year old man being treated for hepatitis C presented with diffuse lymphadenopathy, weight loss, fevers and splenic lesions. Symptoms were initially confused with adverse effects of his regimen, delaying recognition of his infection. Diagnostic investigation, including histopathology, microbiology and serologic parameters, confirmed that his illness was due to disseminated cat scratch disease with <it>Bartonella henselae</it>.</p> <p>Conclusion</p> <p>Disseminated CSD is exceptionally rare in adults. We describe the first case of disseminated cat scratch disease associated with peginterferon α and ribavirin to alert clinicians of the need to be aware of unusual manifestations of common infections in this population.</p>
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spelling doaj.art-79d47503225a47df8fe857a9069fda582022-12-22T03:28:38ZengBMCBMC Infectious Diseases1471-23342007-02-0171810.1186/1471-2334-7-8Adult systemic cat scratch disease associated with therapy for hepatitis CBerenson Charles SBhatti Zahida<p>Abstract</p> <p>Background</p> <p>We describe the first case of systemic cat scratch disease in a patient receiving peginterferon α-2a and ribavirin for treatment of hepatitis C. Cases of adult systemic CSD are extremely infrequent and immunomodulatory treatment for hepatitis C has been associated with aberrant host responses to common pathogens.</p> <p>Case presentation</p> <p>A 52 year old man being treated for hepatitis C presented with diffuse lymphadenopathy, weight loss, fevers and splenic lesions. Symptoms were initially confused with adverse effects of his regimen, delaying recognition of his infection. Diagnostic investigation, including histopathology, microbiology and serologic parameters, confirmed that his illness was due to disseminated cat scratch disease with <it>Bartonella henselae</it>.</p> <p>Conclusion</p> <p>Disseminated CSD is exceptionally rare in adults. We describe the first case of disseminated cat scratch disease associated with peginterferon α and ribavirin to alert clinicians of the need to be aware of unusual manifestations of common infections in this population.</p>http://www.biomedcentral.com/1471-2334/7/8
spellingShingle Berenson Charles S
Bhatti Zahida
Adult systemic cat scratch disease associated with therapy for hepatitis C
BMC Infectious Diseases
title Adult systemic cat scratch disease associated with therapy for hepatitis C
title_full Adult systemic cat scratch disease associated with therapy for hepatitis C
title_fullStr Adult systemic cat scratch disease associated with therapy for hepatitis C
title_full_unstemmed Adult systemic cat scratch disease associated with therapy for hepatitis C
title_short Adult systemic cat scratch disease associated with therapy for hepatitis C
title_sort adult systemic cat scratch disease associated with therapy for hepatitis c
url http://www.biomedcentral.com/1471-2334/7/8
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