title: Atypical cat-scratch disease: diagnosis by a serologic test for Rochalimaea species.
abstract: Three patients with atypical manifestations of cat-scratch disease (CSD) had the diagnosis supported by a newly available serologic assay for antibodies to Rochalimaea henselae. Previously, CSD has been a diagnosis of exclusion because no confirmatory test was readily available. Atypical or severe cases of CSD have often required detailed (and expensive) clinical and laboratory investigation. The use of Rochalimaea-specific serologic tests may help avoid extensive diagnostic testing or invasive procedures in such cases.
authors.affiliation: Department of Pediatrics, Alfred I. duPont Institute/Jefferson Medical College, Wilmington, DE 19899.
authors.forename: D
authors.initials: D
authors.lastname: Doyle
authors.forename: S C
authors.initials: SC
authors.lastname: Eppes
authors.forename: J D
authors.initials: JD
authors.lastname: Klein
mesh_terms: D000293:Adolescent; D000907:Antibodies, Bacterial / Q000032:analysis*; D015373:Bacterial Typing Techniques; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000382:microbiology; D002648:Child; D006801:Humans; D008297:Male; D012287:Rickettsiaceae / Q000276:immunology* / Q000302:isolation & purification; D012288:Rickettsiaceae Infections / Q000382:microbiology; D012698:Serologic Tests
chemical_list: D000907:Antibodies, Bacterial