Atypical form of cat scratch disease in immunocompetent patient Atipi˛ na forma bolesti ma˛ jeg ogreba kod imunokompetentne bolesnice

Introduction. Cat scratch disease (CSD) is an acute infec- tious disease with benign course caused by the bacteria Bar- tonella henselae. Clinically, it is usually manifested as regional lymphadenopathy and mild infective syndrome. Rare forms of the disease which usually occur in immunocompromised presons are: encephalitis, transverse myelitis, neuroretinitis, granulomatosus conjunctivitis, arthritis, hepatitis etc. Case report. We presented an atypical form of cat scratch disease in a young immunocompetent female person. The disease was manifested with prolonged fever, rash, purulent lymph- adenitis and hepatitis. The diagnosis was based on charac- teristic patohystological finding and exclusion of the other causes of lymphadenopathy. The patient was treated by an- tibiotics for a few weeks, with surgical incision and drainage of the purulent lymphadenitis. Conclusion. Atypical forms of CSD could be an important differential-diagnostic prob- lem, especially if there is no opportunity for serological con- firmation of the disease.