Cat-scratch encephalopathy presenting as status epilepticus and lymphadenitis

Pablo Yagupsky, Shaul Sofer

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


A five-year-old male was admitted to the hospital with generalized seizures. Enlarged lymph nodes raised the suspicion of cat-scratch disease. The diagnosis was confirmed by a positive history of a cat bite, typical histopathologic findings in the biopsy of the lymph nodes, and a positive skin test. Brain CT scan and LP were repeatedly normal. The clinical course was remarkable for recurrent episodes of status epilepticus refractory to usual anticonvulsant therapy and prolonged encephalopathy consisting of mental confusion, hemiparesis, tremor, chorea, and vomiting. All neurologic symptoms gradually resolved within nine months, without sequelae. Cat-scratch encephalopathy should be suspected in a child presenting with status epilepticus and enlarged lymph nodes. Aggressive and prolonged anticonvulsant therapy is strongly recommended.

Original languageEnglish
Pages (from-to)43-45
Number of pages3
JournalPediatric Emergency Care
Issue number1
StatePublished - 1 Jan 1990


  • Cat-scratch disease
  • Encephalopathy
  • Status epilepticus

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine


Dive into the research topics of 'Cat-scratch encephalopathy presenting as status epilepticus and lymphadenitis'. Together they form a unique fingerprint.

Cite this