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Clinical Pediatrics
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Cat-Scratch Disease with Encephalopathy

Philip Miller

From the Departments of Pediatrics and Neurology, The University of Iowa College of Medicine, Iowa City, Iowa

William E. Bell

From the Departments of Pediatrics and Neurology, The University of Iowa College of Medicine, Iowa City, Iowa

A case of encephalopathy complicating cat-scratch disease has been de scribed. Neurologic signs manifested by convulsions and stupor appeared ten days after epitrochlear lymphadenopathy. The clinical course gradually improved over the next few days and recovery was complete. The spinal fluid was normal. The skin test with CSD antigen was positive. In all cases of encephalopathy developing within six weeks following the appearance of un explained lymphadenopathy, the diagnosis of cat-scratch disease should be entertained. The importance of the cat-scratch disease antigen in diagnosis is emphasized.

Clinical Pediatrics, Vol. 19, No. 3, 233-234 (1980)
DOI: 10.1177/000992288001900312
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R. G. Pickerill and J. E. Milder
Transverse Myelitis Associated With Cat-Scratch Disease in an Adult
JAMA, December 18, 1981; 246(24): 2840 - 2841.
[Abstract] [PDF]