UNASSIGNED: @entity11102 ( @entity11102 ) is an @entity166 caused by @entity2711 . Atypical clinical presentations of @entity11102 include prolonged @entity221 and multiple @entity75 , although these are rare. Furthermore, multiple @entity8 are extremely rare in @entity11102 . The @entity1 was an 11-year-old Japanese @entity1 who had a prolonged @entity221 of unknown cause after being scratched and bitten by a kitten. Abdominal computed tomography (CT) revealed multiple small, round hypodense lesions in both kidneys and in the spleen. Based on her history and the results of CT, a diagnosis of @entity11102 was made; the diagnosis was confirmed with serological tests, which indicated antibodies against @entity2711 . After treatment with @entity4580 , her @entity221 immediately improved. Careful history taking and imaging are essential for the diagnosis of atypical @entity11102 . In CT images, not only @entity75 but also @entity8 are important features indicative of a diagnosis of atypical @entity11102 . Subsequently, a diagnosis of @entity11102 can be confirmed with specific serological tests. To the best of our knowledge, this is the first reported Japanese case of multiple @entity8 in a @entity1 with @entity11102 . Although atypical @entity11102 is difficult to diagnose, an early diagnosis is important to prevent invasive examinations.

Multiple Renal and Splenic Lesions in a XXXX with Cat Scratch Disease.

@entity1 :: ('9606', 'Species') :: ['girl', 'patient'] @entity8 :: ('MESH:D007674', 'Disease') :: ['renal lesions', 'renal and splenic lesions'] @entity75 :: ('MESH:D001927', 'Disease') :: ['hepatosplenic lesions'] @entity4580 :: ('MESH:D017963', 'Chemical') :: ['azithromycin'] @entity166 :: ('MESH:D003141', 'Disease') :: ['infectious disease'] @entity2711 :: ('38323', 'Species') :: ['Bartonella henselae'] @entity11102 :: ('MESH:D002372', 'Disease') :: ['Cat scratch disease', 'CSD'] @entity221 :: ('MESH:D005334', 'Disease') :: ['fever']
@entity1 :: (9606,Species) :: ['Child']
