Neurology 2022 04 10;98(14):597-600. Epub 2022 Feb 10.
From the Departments of Neurology (A.D., G.T., T.R.M., O.S.) Infectious Diseases (E.C.-B.), Inselspital, Bern University Hospital, University of Bern, Switzerland.
We present a case of a cat owner with a scar on his right thenar eminence, followed by lymphadenopathy in the right axilla, general malaise and fever, and subsequent onset of bilateral neuralgic amyotrophy within one week. After a comprehensive workup, cat scratch disease caused by was confirmed serologically and adequately treated. Despite antibiotic treatment, the patient presented clinically with persistent bilateral, asymmetric neuropathy of the median nerve, predominantly the interosseous anterior nerve, which was confirmed by multifocal swelling and hyperintense signal of the nerves on T2-weighted MR neurography. Read More