Mujer de 70 años con Lupus Eritematoso sistémico y fiebre de seis semanas de evolución

  1. Sánchez Berná, Isabel 1
  2. Vargas Hitos, José Antonio 1
  3. Jiménez Alonso, Juan 1
  1. 1 Universidad de Granada
    info

    Universidad de Granada

    Granada, España

    ROR https://ror.org/04njjy449

Revue:
Actualidad médica

ISSN: 0365-7965

Année de publication: 2016

Tomo: 101

Número: 797

Pages: 41-43

Type: Article

DOI: 10.15568/AM.2016.797.CC02 DIALNET GOOGLE SCHOLAR lock_openDIGIBUG editor

D'autres publications dans: Actualidad médica

Résumé

A 70-year-old female with a history of systemic lupus erythematosus who had received a kidney transplant four years before due to lupus nephritis presented to the emergency room with a six-week history of fever and polyarthralgias. She owned a cat and admitted occasional scratches. Physical examination revealed a temperature of 38.2ºC and a nontender erythematous nodule on the left calf region. Laboratory tests revealed slight alteration of acute phase reactants. CT scan of the thorax and abdomen showed enlarged lymph nodes in the right inguinal region. Bartonella serology was positive (IgG 1/64), and a positive result of polymerase chain reaction assays for Bartonella henselae in the exudate of the skin lesion confirmed the diagnosis of cat scratch disease. Treatment was started with doxycycline and clarithromycin with complete resolution of symptoms.