Renal Microabscesses: A Presentation of Cat Scratch Disease

A previously healthy 5-year-old girl was referred following a spiking fever for 8 days accompanied by abdominal pain, fatigue, and headache. Physical examination was unremarkable. Initial laboratory evaluation revealed a white blood cell count of 12 100/mm3 (normal ranges, 4000-10 000/mm3) and C-reactive protein of 12.06 mg/dL (normal value, < 0.8 mg/dL). Urinalysis showed 33 white cells/high-power field. Liver and renal functions were within normal limits. Empiric antibiotics were given but spiking fever persisted.

Source: The Journal of Pediatrics - March 20, 2015 Category: Pediatrics Authors: Chun-Chen Lin, Hsin Chi, Jeng-Daw Tsai Tags: Insights and Images Source Type: research