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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}


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.

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  • Competing interests: None.

  • Patient consent: Obtained.