DOI: 10.36347/sjmcr.2016.v04i08.018

Pages: 623-625

Cat scratch disease (CSD) is a sub acute regional lymphadenitis caused by Bartonella henselae. CSD is more common among children and boys are affected often than girls. A 11 year male child presented with swelling of left side of neck for 2 months ,tenderness of the same area for 1 ½ months and low grade fever for 2 months, with the history and physical examination of the patient our differential diagnosis was tuberculosis, lymphoma and CSD. He had only a history of contact with cat but no history of bite. Lymph node biopsy revealed it was a case of CSD .The child’s signs and symptoms improved with Azithromycin. The rarity of the condition prompted us to document the problems faced in establishing a diagnosis of CSD in a young boy who presented with cervical lymphadenopathy.