2020
DOI: 10.1080/08998280.2020.1756141
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Cat scratch disease causing encephalitis

Abstract: Cat scratch disease is often a benign infection caused by Bartonella henselae, which is transmitted from scratches or bites from kittens. Presentations can vary from localized lymphadenopathy to neurologic manifestations. We present a case of a 22-year-old man with a 3-week history of an enlarged inguinal lymph node who presented with status epilepticus.

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Cited by 7 publications
(8 citation statements)
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References 10 publications
(35 reference statements)
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“…Regarding the clear advantage of augmentation with Minocycline in psychosis, this may in a similar way act on the CNS inflammation by improving microglia function; but also, it may be that the effect of Minocycline is related to antibiotic effects on an as yet unidentified bacteria that plays a role in the development or the persistence of schizophrenia-like psychotic symptoms. Although epidemiological associations between schizophrenia and exposure to infectious agents including Toxoplasmosis and cat scratch disease have been found, a causal link has remained elusive ( Endres et al, 2020 , 2022 ; Fan and Ali, 2020 ; Fuglewicz et al, 2017 ). There may also be effects on translocation of bacteria across the gut wall, thus influencing the brain-gut axis ( Nemani et al, 2015 ).…”
Section: Discussionmentioning
confidence: 99%
“…Regarding the clear advantage of augmentation with Minocycline in psychosis, this may in a similar way act on the CNS inflammation by improving microglia function; but also, it may be that the effect of Minocycline is related to antibiotic effects on an as yet unidentified bacteria that plays a role in the development or the persistence of schizophrenia-like psychotic symptoms. Although epidemiological associations between schizophrenia and exposure to infectious agents including Toxoplasmosis and cat scratch disease have been found, a causal link has remained elusive ( Endres et al, 2020 , 2022 ; Fan and Ali, 2020 ; Fuglewicz et al, 2017 ). There may also be effects on translocation of bacteria across the gut wall, thus influencing the brain-gut axis ( Nemani et al, 2015 ).…”
Section: Discussionmentioning
confidence: 99%
“…Bartonella spp. can also induce encephalitis and microvascular injury, or could precipitate an autoimmune process, any of which could contribute to pathogenesis of neuropsychiatric symptoms (Scheidegger et al 2011, Fan and Ali 2020, Tsukamoto et al 2020).…”
Section: Discussionmentioning
confidence: 99%
“…Cat scratch encephalopathy most commonly presents with seizures. Other CNS manifestations of B. henselae include encephalitis, aseptic meningitis, status epilepticus, transverse myelitis, and radiculitis 43,44 . It can also present with dementia in HIV patients 45 .…”
Section: Final Diagnosis: Brain Abscess Due To B Henselaementioning
confidence: 99%
“…Other CNS manifestations of B. henselae include encephalitis, aseptic meningitis, status epilepticus, transverse myelitis, and radiculitis. 43,44 It can also present with dementia in HIV patients. 45 Although a case of brain granulomatous process involving the right thalamus and surrounding tissues associated with B. henselae infection has been reported in the literature, 44 to our knowledge, multiple brain abscesses have not been reported before.…”
Section: Final Diagnosis: Brain Abscess Due To B Henselaementioning
confidence: 99%