Journal Article

Chest-Wall Abscess Due to Cat-Scratch Disease (CSD) in an Adult with Antibodies to <i>Bartonella clarridgeiae</i>: Case Report and Review of the Thoracopulmonary Manifestations of CSD

Andrew M. Margileth and David F. Baehren

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 27, issue 2, pages 353-357
Published in print August 1998 | ISSN: 1058-4838
Published online August 1998 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/514671
Chest-Wall Abscess Due to Cat-Scratch Disease (CSD) in an Adult with Antibodies to Bartonella clarridgeiae: Case Report and Review of the Thoracopulmonary Manifestations of CSD

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We describe a patient who presented with a massive chest-wall abscess after a severe debilitating illness that lasted 3 months. Steroid therapy, administered for 4 weeks, masked the slow development of an extensive axillary and chest-wall abscess. After multiple negative tests, the patient's prolonged illness was diagnosed as cat-scratch disease (CSD). An indirect fluorescent antibody test revealed that two convalescent serum samples were positive for IgG to Bartonella clarridgeiae, but no other Bartonella species. We also review 12 cases of severe chest and pulmonary disease due to CSD that were reported in the English-language literature. Thoracopulmonary findings associated with CSD, pathogenic mechanisms of bartonella infections, diagnostic criteria, and management of CSD are presented.

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Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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