RT Journal
A1 Schlossberg D, Morad Y, Krouse TB, Wear DJ, English CK
T1 CUlture-proved disseminated cat-scratch disease in acquired immunodeficiency syndrome
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 1989
FD June 1
VO 149
IS 6
SP 1437
OP 1439
DO 10.1001/archinte.1989.00390060145034
UL http://dx.doi.org/10.1001/archinte.1989.00390060145034
AB • A male homosexual (positive for the human immunodeficiency virus) with a recent cat scratch developed fever, epitrochlear and axillary lymphadenopathy, and retinitis. Subsequently, he developed skin (epithelioid hemangioma) and mucosal lesions (Kaposi's sarcoma), multiple liver abscesses, and pleural effusion. Warthin-Starry stains and/or electron micrographs of lymph nodes and skin lesions demonstrated bacilli characteristic of those associated with cat-scratch disease. Cultures of lymph node, pleural fluid, and liver abscess specimens yielded organisms believed to be the causative agent of cat-scratch disease. We believe that disseminated cat-scratch disease may become an indicator of opportunistic infection signaling acquired immunodeficiency syndrome in a patient who is positive for the human immunodeficiency virus.(Arch Intern Med. 1989;149:1437-1439)