Diagnosis and analysis of a case of cat scratch disease combined with bacterial meningitis in a child

Cat scratch disease is an infectious disease caused by the invasion of Bartonella henselae into the human body. Its clinical manifestations are diverse, but those presenting with neurological symptoms are rare, and cases of combined bacterial meningitis are even rarer. In this study, we report a case of a child with unexplained fever and neurological involvement, in which conventional anti-infective treatment was ineffective, and cat scratch disease was diagnosed with the metagenomics next-generation sequencing of whole blood. The cerebrospinal fluid examination suggested bacterial meningitis, and she was discharged after treatment.