title: Cervical cat scratch disease lymphadenitis in a patient with immunoglobulin M antibodies to Toxoplasma gondii.
abstract: We report on a young patient with chronic cervical lymphadenopathy and serological and histological evidence for infection with Bartonella henselae and Toxoplasma gondii. Serological follow-up studies, including testing for avidity of Toxoplasma-specific immunoglobulin G antibodies, assisted in the determination of the cause of the acute lymphadenitis. Our results suggest that the clinical symptoms were most likely due to cat scratch disease rather than to acute toxoplasmosis.
authors.affiliation: Department of Hygiene and Medical Microbiology, Institute for Hygiene, University of Heidelberg, Heidelberg, Germany. mardjan_arvand@med.uni-heidelberg.de
authors.forename: Mardjan
authors.initials: M
authors.lastname: Arvand
authors.forename: Ilkay
authors.initials: I
authors.lastname: Kazak
authors.forename: Sergije
authors.initials: S
authors.lastname: Jovanovic
authors.forename: Hans-Dieter
authors.initials: HD
authors.lastname: Foss
authors.forename: Oliver
authors.initials: O
authors.lastname: Liesenfeld
mesh_terms: D000328:Adult; D000818:Animals; D000913:Antibodies, Protozoan / Q000097:blood*; D018416:Bartonella henselae / Q000276:immunology* / Q000302:isolation & purification; D002372:Cat-Scratch Disease / Q000276:immunology* / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D007075:Immunoglobulin M / Q000097:blood; D008297:Male; D013363:Submandibular Gland / Q000382:microbiology / Q000469:parasitology / Q000473:pathology; D014122:Toxoplasma / Q000276:immunology* / Q000302:isolation & purification; D014123:Toxoplasmosis / Q000276:immunology* / Q000473:pathology
chemical_list: D000913:Antibodies, Protozoan; D007075:Immunoglobulin M