How is hepatosplenic cat scratch disease (CSD) diagnosed?

Updated: Feb 16, 2021
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

The diagnosis is based on characteristic filling defects in the liver, spleen, or both as detected by ultrasonography, CT scanning, and a positive B henselae titer. The liver is described as having a nutmeg appearance with stellate necrotizing granulomata on the histologic examination.


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