GENERALIZED FORM OF THE CAT SCRATCH DISEASE ON THE BACKGROUND OF IMMUNODEFFICIENCY WITH LIVER INJURY

Abstract

A description of a clinical case of a generalized form of the cat scratch disease (CSD) on the background of immunodeficiency is presented.

The patient had a typical course of CSD, which initially manifested symptoms of general intoxication, fever, regional lymphadenitis with enlargement of the axillary lymph node on the scratch side and lymphadenitis of the internal organs.

However, the patient on the background of severe premorbid background and immunosuppression had a generalization of infection – a systemic variant of CSD, which manifested itself in the form of lung damage (pleurisy), liver (granulomatous hepatitis), spleen (abscesses with subsequent resorption and fibrosis), and various hematological manifestations: anemia, thrombocytopenia.

This systemic nature of the course of CSD was mistakenly interpreted by experts as a probable cryptogenic sepsis.