title: Combining cytomorphology and serology for the diagnosis of cat scratch disease.
abstract: Cat scratch disease (CSD) is a self limited zoonotic disease that presents most commonly as a regional lymphadenopathy. We are reporting a case of a 25-year-old male patient who presented with fever and large right inguinal lymphadenopathy. The diagnosis of cat scratch disease was confirmed based on the characteristic cytopathological features on aspirate smears from the lymph node and the serological titers for Bartonella henselae. This case report emphasizes the importance of combining Bartonella serology, and cytopathology in the diagnostic work-up of febrile lymphadenopathy and suspected CSD since the culture of this organism is arduous.
authors.affiliation: Department of Medicine, Division of Infectious Diseases, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN 37684, USA.
authors.forename: Dima
authors.initials: D
authors.lastname: Youssef
authors.forename: Wael E
authors.initials: WE
authors.lastname: Shams
authors.forename: Adel
authors.initials: A
authors.lastname: El Abbassi
authors.forename: Jonathan P
authors.initials: JP
authors.lastname: Moorman
authors.forename: Mousa A
authors.initials: MA
authors.lastname: Al-Abbadi
mesh_terms: D000328:Adult; D002372:Cat-Scratch Disease / Q000097:blood* / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D003581:Cytodiagnosis / Q000379:methods*; D006099:Granuloma / Q000473:pathology; D006801:Humans; D008297:Male; D010388:Pelvis / Q000000981:diagnostic imaging; D012698:Serologic Tests / Q000379:methods*; D013194:Staining and Labeling; D014057:Tomography, X-Ray Computed