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October 21, 1961

Cat-Scratch Disease as a Cause of Lymphadenopathy of Long Duration

Author Affiliations

U. S. Army

From the U.S. Army Dispensary, The Pentagon, Washington, D.C. Captain Rosof is currently Clinical Fellow in Medicine, Yale University School of Medicine, New Haven, Conn.

JAMA. 1961;178(3):328-329. doi:10.1001/jama.1961.73040420022019a

IT IS THE PURPOSE of this paper to present a well-documented case of cat-scratch disease with lymphadenopathy of 18 months' duration. Since the first description of cat-scratch disease as a disease entity in the English literature by Greer and Keefer1 more than 1,000 cases have been presented. Although a further case report of catscratch disease is not warranted, one with lymphadenitis of long duration is indeed unusual. It thus adds another disease to be considered in the differential diagnosis of chronic adenitis.

Report of a Case  The patient is a 25-year-old male who was first seen in January, 1960, with the chief complaint of a swelling in his right axilla. Pertinent history revealed the occurrence of several scratches on his right hand of 2 weeks' duration and the fact that he had 2 cats at home. Physical examination revealed a temperature of 99.6° F. (37.7° C.) and several enlarged,

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