Cat Scratch Disease
Classic cat scratch disease (fever and regional lymphadenopathy lasting <7 days) is the most common clinical manifestation of Bartonella henselaeinfection.
Patient 1:
This is a young man with a history of orthotopic heart transplantation on chronic immunosuppressive therapy who developed skin nodules following a scratch from his pet cat.
Patient 2:
This patient who is a pig farmer was admitted with several weeks of fever, red eyes and cervical lymphadenopathy. He was thought to have lymphoma, but his cervical node biopsy was not confirmatory, so infectious causes were re-explored. Turns out he found a kitten in a pig sty, which led to the diagnosis of cat scratch disease, presenting as Parinaud’s oculoglandular syndrome.
