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May 5, 1969

Cat-Scratch Disease

Author Affiliations

Loring AFB, Me

JAMA. 1969;208(5):867. doi:10.1001/jama.1969.03160050121026

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To the Editor:—  Last year while stationed at an airbase in Thailand, I had occasion to see two children in whom I suspected cat-scratch disease (207:312, 1969).The first was in a boy, age 9, who had awakened at about 4 am one morning in extreme pain. His right axilla was markedly swollen and tender; his temperature was elevated. Since our facility offered the only American physicians in the area, the child was brought in. He had been well before going to bed, but awakened with extreme pain and swelling under the right arm. His temperature (orally) at that time was 103 F. He had been scratched on his right hand by a cat about two weeks before. The age of the cat was undetermined but the cat had had rabies shots and was well two weeks after the scratch occurred.Examination revealed a small crater-like lesion on the dorsum