GRANULOMATOUS HEPATITIS IN PASTEURELLA-MULTOCIDA INFECTION

Numerous diseases can lead to multilocular lesions of the liver. The a uthors report a rare pediatric case of hepatic granulomas due to Paste urella multocida a 7-year-old girl with chronic fever was investigated by sonography and CT scan, demonstrating mesenteric lymph node enlarg ement and numerous small hepatic lesions. After surgical biopsy, histo pathology of the liver specimens showed pyogenic granuloma, with serol ogic testing positive for Pasteurella multocida. Treatment with a tetr acycline and corticosteroids was successful. Pasteurella multocida inf ection, despite its habitual benign course, should be suspected among differential diagnoses of lymphogranulomatous affections with hepatic involvement. No case of Liver and lymph node foci in a child has been previously described.