Grand Journal of Urology
E-ISSN : 2757-7163

Isolated Renal Involvement Requiring Surgical Treatment in Systemic Cat Scratch Disease
Bakytbek Kozubaev1, Şaban Oğuz Demirdöğen1, Tugay Aksakallı2, Abdulcelil Budak1, Yakup Hilal3, Ebru Şener3, Turgut Yapanoğlu1
1Department of Urology, Atatürk University Faculty of Medicine, Erzurum, Türkiye
2Department of Urology, Erzurum Regional Training and Research Hospital, Erzurum, Türkiye
3Department of Pathology, Atatürk University Faculty of Medicine, Erzurum, Türkiye
DOI : 10.5505/GJU.2024.63835
Pages : 063-066
Cat scratch disease (CSD) is a self-limiting infectious disease that develops after a cat bite or scratch, caused by the Gram-negative bacillus Bartonella henselae. The disease is generally characterized by fever and regional granulomatous lymphadenopathy, but in 5-10% of cases it can occur as a systemic disease and lead to various diseases. A 31 year old healthy woman applied to the internal medicine clinic with right side pain. He was referred to the urology clinic after the urinary system USG revealed a 4x3cm cystic mass in the right kidney. There was no finding in the patient"s history other than a cat bite 3 months ago. Radiological evaluations showed RCC suspicion in the right kidney with the classification of Bosniak type 3 cyst. Upon being reported as a medical condition, the patient underwent laparoscopic partial nephrectomy. Multiple abscesses in the liver and spleen, and microabscesses in both kidneys, accompanied by systemic inflammatory symptoms, have previously been reported in systemic CSD. However, as far as we know, this is the first case of Bartonella henselae in the literature showing isolated single kidney involvement of this size without showing systemic inflammatory symptoms.
Keywords : Bartonella henselae, cat scratch disease, renal abscess, partial nephrectomy
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