Image of the Week for October 26, 2009
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Cat-Scratch Disease (Bartonella henslae)
Cat-Scratch Disease (Bartonella henslae). This 3 year old was previously scratched on the left side of her neck by a kitten. She developed raised red bumps around the scratch on day five. This area ulcerated slightly and was slow to heal. No fever was noted, though she was less active for the next several days and complained that her arms and legs were sore. She developed swollen posterior cervical lymph nodes about a week later. Physical examination indicated two 8mm ulcerations with raised borders and a papule near an enlarged minimally tender posterior cervical node. Serology was positive for Bartonella henselae. She responded to treatment with azithromycin and time.
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