Case 212. Bartonellosis (cat scratch disease) (40 y-o F)

　 　 　 　
　
Biopsied axillary lymph node, swollen 2 weeks after bite by a suckling cat
 　
　 　 　 　

　

 　 Epithelioid granulomas are randomly distributed in the enlarged lymph node (HE, low power). Most of the patients keep a kitten, and have a history of scratch or bite by the cat. The incidence is seasonally high in autumn through winter. Regarding the systemic infection, refer to case 47.