Cat scratch disease is a relatively common bacterial infection caused by contact with infected feline saliva. This case demonstrates an unusual presentation of adenopathy involving the superficial subcutaneous tissue of the upper extremity. Because of the location, adenopathy was not the primary consideration. The ultimate cause was identified as cat scratch disease caused by the Bartonella henselae organism in a chronically ill woman.
Rolain JM, La Scola B., Liang Z., Davoust B., Raoult D.: Imunofluorescent detection of intraerythrocytic Bartonella henselae in naturally infected cats. J Clin Microbiol2001;37:2978-2980.
2.
Jackson LA, Perkins BA, Enger JD: Cat scratch disease in the United States: an analysis of three national data bases. Am J Public Health1993;83:1707-1711.
3.
English R.: Cat scratch disease. Pediatr Rev2006;27: 123-128.
4.
Lamps LW, Scott MA: Cat-scratch disease: historic, clinical, and pathologic perspectives. Am J Clin Pathol2004;121(suppl):s71-s80.
5.
Chian CA, Arrese JE, Pierrard GE: Skin manifestations of Bartonella infections. Int J Dermatol2002;41:461-466.