A 32-year-old man comes to the physician because of fever and painful swelling in his right axilla for 5 days. He feels tired and reports a loss of appetite. He works in a garden center during weekdays and at a pet shop that sells various pet mammals and fish during the weekends. His temperature is 38°C (100.4°F), pulse is 95/min, and blood pressure is 131/85 mm Hg. Physical examination shows tender, erythematous, and fluctuant right axillary lymph node swelling with oozing purulent discharge. Several scratch marks are seen on the right arm. The organism responsible for the lymphadenopathy is also associated with which of the following conditions?

Question

A 32-year-old man comes to the physician because of fever and painful swelling in his right axilla for 5 days. He feels tired and reports a loss of appetite. He works in a garden center during weekdays and at a pet shop that sells various pet mammals and fish during the weekends. His temperature is 38°C (100.4°F), pulse is 95/min, and blood pressure is 131/85 mm Hg. Physical examination shows tender, erythematous, and fluctuant right axillary lymph node swelling with oozing purulent discharge. Several scratch marks are seen on the right arm.  The organism responsible for the lymphadenopathy is also associated with which of the following conditions?

Quizplus · Accepted Answer

Eductional Objective: Bartonella henselae causes cat-scratch disease, bacillary angiomatosis, and culture-negative endocarditis.  Cat-scratch disease is characterized by low fever, lymphadenopathy, and a self-limited course.

A 32-Year-Old Man Comes to the Physician Because of Fever