Cat scratch disease: a diagnostic conundrum.

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Cat scratch disease: a diagnostic conundrum.

 

Int J STD AIDS. 2009 Aug;20(8):585-6.

 

Cat scratch disease: a diagnostic conundrum.

 

Scott C, Azwa A, Cohen C, McIntyre M, Desmond N.

 

Department of Sexual Health & HIV Medicine, St Stephens Centre, Chelsea &

Westminster Hospital, 369 Fulham Road, London SW10 9NH.

 

We report the case of a patient who presented to a clinic for evaluation of

inguinal lymphadenopathy. Histology of the lymph nodes revealed micoabscess

formation suggesting infection with Lymphogranuloma venereum (LGV) or

Bartonella henselae - the causative agent in cat scratch disease (CSD). The

patient recalled no preceding animal exposure. Clinical and serological

findings initially suggested early LGV but convalescent serology supported

CSD. This serves as an important reminder that B. henselae infection should

be considered a cause of regional lymphadenopathy in individuals suspected

of having LGV.

 

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PMID: 19625597 [PubMed - in process]