Hepatic and splenic involvement in cat-scratch disease: imaging features

Danon, Olivier; Duval-Arnould, Marc; Osman, Z.; Boukobza, B.; Kazerouni, F.; Cadranel, Jean–François; Neuenschwander, S.; Nocton, F

doi:10.1007/s002619910040

Cited by 26 publications

(14 citation statements)

References 2 publications

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“…The nodes typically range from 1 to 5 cm and may be single or multiple, most commonly occurring in the upper extremity, axilla, or neck. Involvement of multiple sites suggests either multifocal inoculation or disease dissemination (55)(56)(57)(58). Disseminated infection is seen in 5%-10% of cases.…”

Section: Cat-scratch Diseasementioning

confidence: 99%

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The Infected Liver: Radiologic-Pathologic Correlation

Mortelé¹,

Segatto²,

Ros³

2004

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Recent technologic advances have significantly enhanced the role of imaging in the detection, characterization, and management of infectious diseases involving the liver. In addition, imaging-guided percutaneous drainage has greatly improved the clinical treatment of patients with focal liver abscess. Infectious liver diseases can be accurately evaluated with ultrasonography (US), computed tomography (CT), and magnetic resonance (MR) imaging. Characteristic changes in US echogenicity, CT attenuation, or MR imaging signal intensity and typical enhancement patterns can contribute to the diagnosis of specific infectious diseases, including abscesses, parasitic diseases, fungal diseases, granulomatous diseases, viral hepatitis, and other less common infections. CT is particularly helpful in revealing the presence of calcifications and gas and in detailing the enhancement pattern. The multiplanar capability of MR imaging and its sensitivity to small differences in tissue composition increase its specificity for certain hepatic infections, including hydatid cyst and candidiasis. Radiologic findings may be sufficient to obviate aspiration or histologic examination, although in most instances they are less specific. Nevertheless, imaging findings taken together with appropriate clinical information may provide the most likely diagnosis, even if biopsy is sometimes required for confirmation.

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Section: Cat-scratch Diseasementioning

confidence: 99%

“…Histopathologic findings include vascular proliferative lesions (peliosis hepatis) and necrotizing granulomatous lesions (56). Peliosis hepatis is a condition in which mottled and blotchy areas representing irregular blood-filled lakes are seen in the liver.…”

Section: Cat-scratch Diseasementioning

confidence: 99%

The Infected Liver: Radiologic-Pathologic Correlation

Mortelé¹,

Segatto²,

Ros³

2004

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337

212

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“…Solitary splenic metastasis from lung cancer, malignant melanoma, ovary, and other nongastrointestinal primaries were reported as well [2][3][4][5][6]. Benign solid tumors are even rarer and may include hemangiomas, littoral cell angiomas, hamartomas, granulomatous disease, and inflammatory pseudotumors [7,8,10,23,24].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic splenectomy for solitary splenic tumors

et al. 2008

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“…However, two observations are inconsistent with this conclusion. First, in the handful of case reports noting splenic involvement in CSD, CT evidence of abscesses in the spleen or multiple scattered round hypoechoic lesions in an enlarged spleen is often, but not always, documented [ 10 – 12 ]. In this case, linear, not round, hypoechoic lesions were seen.…”

Section: Discussionmentioning

confidence: 99%

Possible infectious causes of spontaneous splenic rupture: a case report

2014

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IntroductionSpontaneous atraumatic splenic rupture is a rare but dramatic occurrence that is most commonly attributed to infection or neoplasia. Deciphering the etiology can be challenging with many cases remaining unclear despite full investigation.Case presentationWe report the case of a previously healthy and immunocompetent 52-year-old Caucasian woman with a remote history of clinically diagnosed infectious mononucleosis who experienced sudden atraumatic splenic rupture after an untreated stray cat bite.ConclusionsThe differential diagnosis for atraumatic splenic rupture, specifically its infectious causes, is reviewed. Key clinical and laboratory findings that differentiate Bartonella henselae infection and Epstein–Barr virus reinfection are reviewed.

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Hepatic and splenic involvement in cat-scratch disease: imaging features

Cited by 26 publications

References 2 publications

The Infected Liver: Radiologic-Pathologic Correlation

The Infected Liver: Radiologic-Pathologic Correlation

Laparoscopic splenectomy for solitary splenic tumors

Possible infectious causes of spontaneous splenic rupture: a case report

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