A case report of seronegative cat scratch disease, emphasizing the histopathologic point of view.

Abstract:

UNLABELLED:Cat scratch disease, necrotizing granulomatous lymphadenitis caused by Bartonella henselae, usually benign and self-limited. However, various clinical manifestations and no pathognomonic histopathologic features can lead to misinterpretations and diagnostic disputes. We report a case of cat scratch disease in a 39-yr-old male patient with fever and left axillary lymphadenitis. He had a history of cat bite on the left hand dorsum. On excision, the lymph node showed follicular hyperplasia, stellate microabscesses with a rim of granulomatous inflammation. Warthin-Starry silver staining showed many clumps of silver-stained bacilli within the necrotic foci. Serological tests were negative. Diagnosis was established by PCR analysis. VIRTUAL SLIDES:The virtual slides for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1877499238123059.

journal_name

Diagn Pathol

journal_title

Diagnostic pathology

authors

Shin OR,Kim YR,Ban TH,Lim T,Han TH,Kim SY,Seo KJ

doi

10.1186/1746-1596-9-62

subject

Has Abstract

pub_date

2014-03-19 00:00:00

pages

62

issn

1746-1596

pii

1746-1596-9-62

journal_volume

9

pub_type

信件
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