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Emerg Med J 2008;25:703-704 doi:10.1136/emj.2008.060616
  • Emergency casebooks

Cat scratch disease presenting as acute encephalopathy

  1. Y Cherinet,
  2. R Tomlinson
  1. Department of Paediatrics, Royal Devon and Exeter Hospital, Exeter, UK
  1. Dr Y Cherinet, Department of Paediatrics, Bristol Royal Hospital for Children, Paul O’Gorman Building, Upper Maudlin Street, Bristol BS2 8BJ, UK; yonasc{at}hotmail.com
  • Accepted 1 April 2008

Abstract

An unusual case of primary meningo-encephalitis followed by partial complex seizure in a 9-year-old boy was found to be a symptom of cerebral Bartonella henselae infection or cat scratch disease. Despite one clinical relapse at 4 weeks post-presentation, he remained seizure free on carbamazepine for one year. Six months after stopping carbamazepine, however, he developed deja vu phenomena and absence seizures with EEG abnormality. Restarting carbamazepine improved his symptoms.

Footnotes

  • Competing interests: None.

  • Patient consent: Obtained.

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