Rheumatology Advance Access originally published online on August 18, 2009
Rheumatology 2009 48(11):1461-1462; doi:10.1093/rheumatology/kep241
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© The Author 2009. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Mesenteric and splenic cat-scratch disease during etanercept therapy
1Immuno-rhumatologie, Hopital Lapeyronie, Montpellier, France
Correspondence to: Aurélie Schiffmann, CHU Montpellier - Immuno-rhumatologie, Hopital Lapeyronie 371 Ave Doyen Gaston Giraud, Montpellier 34295, France. E-mail: aschiff@voila.fr
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SIR, Cat-scratch disease (CSD) is a benign infectious disease caused by Bartonella henselae, and generally seen among children and young adults. Disseminated infection with extended granulomatous lymphadenopathy and visceral involvement is well known in immuno-deficient patients. We report a case of a systemic CSD with mesenteric lymphadenopathy and splenic involvement in a patient taking etanercept to treat PsA.
A 51-year-old man was admitted to hospital with an elevated fever for 1 week. He had a history of PsA treated with etanercept for 2 years. Two days