LAUSR

Cat-scratch disease (CSD) is a clinical syndrome of regional lymphadenopathy caused by Bartonella henselae. It is a zoonotic infection transmitted from the bacilli’s major reservoir, cats, to humans via an open wound.1 Following inoculation, patients typically develop a papule and local lymphadenopathy. Associated symptoms can include fever, malaise, headache, and fatigue. In immunocompetent children, the disease is typically uncomplicated and resolves within 2 to 4 months. Antibiotic treatment with azithromycin in these cases is for symptomatic benefit.1 In this report, we describe an immunocompetent child initially diagnosed with typical CSD, treated with azithromycin, and subsequently presenting with hepatic lesions.