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ARTICLE |

Transverse Myelitis Associated With Cat-Scratch Disease in an Adult FREE

Robert G. Pickerill, MD; James E. Milder, MD
[+] Author Affiliations

Reprint requests to Department of Internal Medicine, Conemaugh Valley Memorial Hospital, 1086 Franklin St, Johnstown, PA 15905 (Dr Milder).


JAMA. 1981;246(24):2840-2841. doi:10.1001/jama.1981.03320240048024
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CAT-SCRATCH disease, also known as nonbacterial regional lymphadenitis, is an uncommon illness that afflicts children primarily and was first reported in the literature by Debre et al1 in 1950. The disease is usually mild and self-limited and is characterized by subacute regional lymphadenitis, fever, and malaise. The causative agent is unknown, and no consistently effective medical treatment has yet been described.

Neurological manifestations are rare and have been recognized since 1952, when the first case report of encephalitis associated with cat-scratch disease was published by Stevens.2 An additional 24 cases with neurological complications have been described in the English-language literature since then.3-7 The majority of these are reports of encephalopathy and convulsions. To our knowledge, there are only two cases of myelitis and radiculitis.8,9 Both patients were younger than 18 years. We describe a case of cat-scratch disease in a 44-year-old adult complicated by myelitis presenting

REFERENCES

Debre R, Lamy M, Jammet M, et al:  La maladie des griffes de chat . Sem Hop Paris 1950;;26:1895-1904.
Stevens H:  Cat-scratch fever encephalitis . Am J Dis Child 1952;;84:218-222.
Sweeney VP, Drance SM:  Optic neuritis and compressive neuropathy associated with cat scratch disease . Can Med Assoc J 1970;;103:1380-1381.
Torres JR, Sanders CV, Strub RL, et al:  Cat-scratch disease causing reversible encephalopathy . JAMA 1978;;240:1628-1629.
Gadoth N, Oren A, Keynan A, et al:  Cat-scratch disease presenting as status epilepticus: A case report . Isr J Med Sci 1979;;15:162-164.
Selby G, Walker GL:  Cerebral arteritis in cat-scratch disease . Neurology 1979;;29:1413-1418.
Miller P, Bell WE:  Cat-scratch disease with encephalopathy . Clin Pediatr 1980;;19:233-234.
Weinstein L, Meade RH:  The neurological manifestations of cat scratch disease . Am J Med Sci 1955;;229:500-505.
Steiner MM, Vuckovitch D, Hadawi SA, et al:  Cat-scratch disease with encephalopathy: Case report and review of the literature . J Pediatr 1963;;62:514-520.

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Debre R, Lamy M, Jammet M, et al:  La maladie des griffes de chat . Sem Hop Paris 1950;;26:1895-1904.
Stevens H:  Cat-scratch fever encephalitis . Am J Dis Child 1952;;84:218-222.
Sweeney VP, Drance SM:  Optic neuritis and compressive neuropathy associated with cat scratch disease . Can Med Assoc J 1970;;103:1380-1381.
Torres JR, Sanders CV, Strub RL, et al:  Cat-scratch disease causing reversible encephalopathy . JAMA 1978;;240:1628-1629.
Gadoth N, Oren A, Keynan A, et al:  Cat-scratch disease presenting as status epilepticus: A case report . Isr J Med Sci 1979;;15:162-164.
Selby G, Walker GL:  Cerebral arteritis in cat-scratch disease . Neurology 1979;;29:1413-1418.
Miller P, Bell WE:  Cat-scratch disease with encephalopathy . Clin Pediatr 1980;;19:233-234.
Weinstein L, Meade RH:  The neurological manifestations of cat scratch disease . Am J Med Sci 1955;;229:500-505.
Steiner MM, Vuckovitch D, Hadawi SA, et al:  Cat-scratch disease with encephalopathy: Case report and review of the literature . J Pediatr 1963;;62:514-520.
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