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Case Reports in Medicine
Volume 2011 (2011), Article ID 183937, 4 pages
http://dx.doi.org/10.1155/2011/183937
Case Report

Systemic Bartonella henselae Infection in Immunocompetent Adult Presenting as Fever of Unknown Origin

Department of Internal Medicine, Centre Hospitalier Général de Valence, 179 boulevard Marechal Juin, 26953 Valence Cedex 9, France

Received 16 January 2011; Accepted 7 March 2011

Academic Editor: Florian Thalhammer

Copyright © 2011 Thierry Zenone. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Systemic clinical presentations of infection caused by Bartonella henselae are rare in immunocompetent adults. We report four cases with hepatic and/or splenic involvement, presenting as fever of unknown origin. We discuss diagnosis and treatment of this infection. Bartonella henselae serology allows an easy diagnosis of hepatosplenic involvement in cat scratch disease, a clinical picture that appears to be underrecognized.