How is encephalitis manifested in cat scratch disease (CSD)?

Updated: Feb 16, 2021
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Michael Stuart Bronze, MD  more...
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Encephalitis occurs in approximately 2-4% of CSD cases; the condition is characterized by confusion, restlessness, combativeness, and disorientation. Generalized headache and transient nuchal rigidity are often present. Symptoms rapidly progress within hours to seizures and coma. [48] Seizures occur in one half to three fourths of patients and may be self-limited or progress to status epilepticus. Coma complicated by respiratory depression requiring intubation and ventilatory assistance often is reported.

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