We report a case of cat scratch disease with bilateral renal microabscesses. This case is unique in that there were no other abscesses found intrabdominally. A previously healthy child was admitted with a 12-day history of fever and headaches. Bartonella henselae titers were initially IgG 1:640 and IgM 1:100, and later IgG >1:2560 and IgM >1:800. An abdominal ultrasound examination was normal but CT scan revealed microabscesses in both kidneys.
From the *General Academic and Hospital Pediatrics, University of Florida College of Medicine, Jacksonville, FL; †Pediatric Infectious Diseases and Immunology, University of Florida College of Medicine, Jacksonville, FL; and ‡Wolfson Children's Hospital, Jacksonville, FL.
Accepted for publication November 12, 2009.
Address for correspondence: Mobeen Rathore, MD, 653-1 West 8th St, Jacksonville, FL 32209. E-mail: firstname.lastname@example.org.