Pediatr. praxi. 2015;16(1):51-53

Bartonella henselae infection as a cause of unilateral epitrochlear suppurative necrotizing granulomatous lymphadenitis

prof.MUDr.Vladimír Mihál, CSc.1, MUDr.Katarína Procházková1, doc.MUDr.Dagmar Pospíšilová, Ph.D.1, MUDr.Tomáš Malý, Ph.D.2, MUDr.Lucie Tučková3, MUDr.Kamila Michálková4
1 Dětská klinika FN a LF UP v Olomouci
2 Chirurgická klinika FN a LF UP v Olomouci
3 Radiologická klinika FN a LF UP v Olomouci
4 Ústav patologie FN a LF UP v Olomouci

We report the case of an otherwise healthy, 14-year-old girl having a one-week history of a skin lesion and concomitant unilateral

epitrochlear and axillary lymphadenopathy. She had no systemic illness and noted no improvement with a course of amoxicillin and

gentamycine. Examination of left epitrochlear area revealed a red, tender fluctuant lymf node measuring 2 by 2 cm. The child reported

having regular contact with kitten and remembered being scratched by one week earlier, shortly before the mass appeared. She underwent

drainage following lymph node extirpation and a course of doxycycline, with clinical improvement. Bartonella henselae infection

was confirmed by serologic analysis.

Keywords: Bartonella henselae, cat-scratch disease, epitrochlear suppurative necrotizing lymphadenitis, child

Published: February 1, 2015  Show citation

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Mihál V, Procházková K, Pospíšilová D, Malý T, Tučková L, Michálková K. Bartonella henselae infection as a cause of unilateral epitrochlear suppurative necrotizing granulomatous lymphadenitis. Pediatr. praxi. 2015;16(1):51-53.
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