Background: Herein we report a case of cat scratch disease on account of its atypical presentation.
Patients and methods: A 21-year-old woman presented erythema nodosum associated with painful bilateral inguinal adenopathy, odynophagia, joint pain and evening urticaria in a setting of impaired general condition. Initial serological testing for Bartonella henselae was negative. PCR for Bartonella henselae performed on an adenectomy fragment was positive. A favourable outcome was achieved with azithromycin.
Comments: This case shows an atypical and severe presentation of cat scratch disease and raises the problem of sensitivity of serotyping.
Keywords: Adénopathies bilatérales; Bilateral adenopathy; Cat scratch disease; Erythema nodosum; Evening urticaria; Maladie des griffes du chat; Urticaire vespérale; Érythème noueux.
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