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KMID : 0985520240290010020
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Korean Journal of Pancreas and Biliary Tract
2024 Volume.29 No. 1 p.20 ~ p.24
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Atypical Presentation of Cat-Scratch Disease Mimicking Malignancy: A Case Report
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Renandha Septaryan Yustira
Adianto Nugroho
Renaningtyas Tambun
Ivana Dewi Mulyanto
Esther Eunike
Kenny Wijaya Sutanto
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Abstract
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Cat-scratch disease (CSD) is a bacterial infection which primarily transmitted to humans through scratches, bites, or licks from infected cats. Even though CSD is generally a mild condition, atypical symptoms may appear and must be distinguished from other diseases. We encountered a 57-year-old woman who presented with intermittent pain in the right upper quadrant and epigastric part of the abdomen, and had lost 11 kg within a few months. She never had a cat and did not recall being scratched by a cat. Radiologic examinations strongly suggest a malignant bile duct tumor, thus liver resection was done. However, the result of histopathology was a CSD. At follow-up, the patient was stable and also showed improvement in her general condition. Hence, proper preoperative examinations of the patients are crucial in order to avoid excessive or inadequate treatment.
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KEYWORD
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Cat-scratch disease, Bartonella henselae, Bacterial Infection, Lymphadenopathy
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