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Archives de pédiatrie
Volume 19, n° 8
pages 823-826 (août 2012)
Doi : 10.1016/j.arcped.2012.05.011
Received : 26 December 2011 ;  accepted : 29 May 2012
Atteintes neurologiques à Bartonella henselae  : à propos de 2 cas pédiatriques
Neurological symptoms with Bartonella henselae infection: Report on 2 pediatric cases

B. Rondet a, , C. Sarret a, P. Lacombe a, F. Rouveyrol b, C. Chenel c, J.-P. Romaszko d, A. Labbé a
a Service d’accueil des urgences pédiatriques, CHU Estaing, 1, place Lucie-Aubrac, 63000 Clermont-Ferrand, France 
b Service de réanimation pédiatrique, CHU Estaing, 1, place Lucie-Aubrac, 63000 Clermont-Ferrand, France 
c Service de pédiatrie générale, CHPF Papeete, 98714 Tahiti, Polynésie française 
d Laboratoire de bactériologie, mycologie et parasitologie, CHU Gabriel-Montpied, 63000 Clermont-Ferrand, France 

Auteur correspondant.

La maladie des griffes du chat est bien connue sous sa forme classique de lymphadénopathie bénigne d’inoculation. Plus rarement, des atteintes systémiques peuvent compliquer l’évolution. Nous rapportons les cas de 2 enfants ayant présenté des manifestations neurologiques à type d’encéphalite aiguë ou de neurorétinite. Bien que peu fréquente, la maladie des griffes du chat doit être évoquée chez l’enfant devant des manifestations neurologiques de cause indéterminée, que l’anamnèse soit évocatrice ou non.

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Cat scratch disease (CSD) is usually a benign, self-limited regional lymphadenopathy, caused by Bartonella henselae . However, systemic complications have been described. We report on 2 children who developed neurological symptoms of acute encephalitis or neuroretinitis. Cat scratch disease should be suspected when neurological symptoms of undetermined cause occur in children, whether or not anamnesis is significant.

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