TY - JOUR T1 - CUlture-proved disseminated cat-scratch disease in acquired immunodeficiency syndrome AU - Schlossberg D, Morad Y, Krouse TB, Wear DJ, English CK Y1 - 1989/06/01 N1 - 10.1001/archinte.1989.00390060145034 JO - Archives of Internal Medicine SP - 1437 EP - 1439 VL - 149 IS - 6 N2 - • 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) SN - 0003-9926 M3 - doi: 10.1001/archinte.1989.00390060145034 UR - http://dx.doi.org/10.1001/archinte.1989.00390060145034 ER -