Bilateral inguinal lymphadenopathy and erythema nodosum: an uncommon presentation of cat scratch disease

La Revue de médecine interne
I KhoudriM Viguier

Abstract

Cat scratch disease is usually revealed by a proximal lymphadenopathy related to the inoculation site. We report a 22-year-old female who presented with erythema nodosum and bilateral inguinal lymphadenopathy. Serologic test and lymph node PCR detection for Bartonella henselae were negative. Nevertheless, the patient received doxycycline and clinical manifestations rapidly resolved. A follow-up detection of IgM and IgG against Bartonella henselae performed 1 month later was positive. This case report illustrates an original presentation of cat scratch disease and reminds us the lack of sensitivity of laboratory investigations.

References

Feb 1, 1988·Pediatric Dermatology·A M Margileth
Apr 16, 1998·Archives of Disease in Childhood·T KarpathiosP Nicolaidou
Jun 28, 2000·Clinical Rheumatology·D N PsychosH M Moutsopoulos
Oct 29, 2005·Arthritis and Rheumatism·Michael GiladiShlomo Wientroub
Jan 15, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Eran MamanMichael Giladi
Mar 24, 2009·La Revue de médecine interne·C Roubaud-BaudronO Lambotte

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Citations

Oct 2, 2013·La Revue de médecine interne·A-S RességuierO Aumaître
Jun 25, 2013·La Revue de médecine interne·B CouturierE Liozon
Oct 5, 2013·Annales de dermatologie et de vénéréologie·M NajiG Guillet

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