A CASE OF SYSTEMIC BARTONELLOSIS IN AN IMMUNOCOMPETENT BOY

Key words: Fever of unknown origin,Laterocervical lymph node enlargment,Hepatosplenic abscess, Systemic bartonellosis

We report a case of a 5-year-old immunocompetent boy with persistent fever and a diffuse enlargement of laterocervical lymph nodes. We performed first an abdominal ultrasonography and then a CT showed multiple hepatosplenic abscesses. Later the family referred child’s contact with young cats some months before. Significantly high levels of antibody title for Bartonella henselae confirmed the diagnosis. The boy received an antibiotic therapy with azythromicin and gentamicin because of the visceral diffusion of the disease. In typical cases there is no indication to antibiotic therapy.