Abstract

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.

Introduction

Cite as: Kozubaev B, Demirdöğen ŞO, Aksakallı T, Budak A, Hilal Y, Şener E, Yapanoğlu T. Isolated renal involvement requiring surgical treatment in systemic cat scratch disease. Grand J Urol 2024, DOI: 10.5505/GJU.2024.63835 [Epub Ahead of Print] Submission date: 18 December 2023 Acceptance date: 08 March 2024 Online first: 11 March 2024 Publication date: Corresponding Author: Bakytbek Kozubaev / Atatürk University Faculty of Medicine, Department of Urology, Erzurum, Türkiye / usenbekovi4@gmail.com / ORCID ID: 0000-0002-6857-9085 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our authors, we are providing this early version of the manuscript. The version will undergo copyediting, typesetting and review before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. © Copyright 2024 by GJU. Isolated Renal Involvement Requiring Surgical Treatment in Systemic Cat Scratch Disease by Bakytbek Kozubaev is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License which permits unrestricted noncommercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. accepted manuscript