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Updated: May 7, 2026
12:23
Granulocyte-dependent Autoantibody-induced Skin Blistering
Published on: October 12, 2012
[An uncommon cutaneous presentation of cat scratch disease]
1Service de dermatologie, CHU de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France.
Annales De Dermatologie Et De Venereologie
|October 5, 2013
Summary
This case highlights an unusual presentation of cat scratch disease in a young woman. Diagnosis was confirmed via PCR, emphasizing the limitations of serological testing for Bartonella henselae.
Area of Science:
- Infectious Diseases
- Bacteriology
- Clinical Case Reports
Background:
- Cat scratch disease (CSD) is a bacterial infection typically caused by Bartonella henselae.
- Atypical presentations of CSD can pose diagnostic challenges.
Observation:
- A 21-year-old woman presented with erythema nodosum, painful inguinal adenopathy, odynophagia, joint pain, and urticaria.
- Initial serological tests for Bartonella henselae were negative.
Findings:
- Polymerase Chain Reaction (PCR) on an adenectomy specimen confirmed Bartonella henselae infection.
- The patient showed a favorable response to azithromycin treatment.
Implications:
- This case underscores the importance of considering CSD even with atypical symptoms.
- Diagnostic challenges highlight potential limitations in serological testing sensitivity for Bartonella henselae.
- Early and accurate diagnosis is crucial for effective management of CSD.
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