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Review Article
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Volume 330:1509-1515 May 26, 1994 Number 21
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Cat Scratch Disease, Bacillary Angiomatosis, and Other Infections Due to Rochalimaea
Karim A. Adal, Clay J. Cockerell, and William A. Petri

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In 1982 a 32-year-old married bricklayer was admitted to a hospital in Rochester, New York, because of fever and subcutaneous nodules. The nodules were firm, 2 to 6 cm in diameter, and nontender and had appeared in the three weeks before admission. The patient's CD4+ lymphocyte count was 40 cells per cubic millimeter. During the first several days of hospitalization additional nodules appeared and the original nodules increased in size. Histologic examination demonstrated angioproliferation, and bacillary forms were identified in the lesions by Warthin-Starry staining, although standard bacterial cultures were negative. The patient was treated with oral erythromycin, and the . . . [Full Text of this Article]

The Organisms

Epidemiology

Clinical Manifestations and Histopathological Findings

Cutaneous Bacillary Angiomatosis

Extracutaneous Manifestations

Bacillary Peliosis Hepatis

Fever with Bacteremia (Rochalimaea Bacteremic Syndrome)

Cat Scratch Disease

Diagnosis

Treatment

Conclusions


Source Information

From the Departments of Medicine, Pathology, and Microbiology, University of Virginia, Charlottesville (K.A.A., W.A.P.); and the Departments of Dermatology and Pathology, University of Texas Southwestern Medical Center, Dallas (C.J.C.).

Address reprint requests to Dr. Petri at MR4 Bldg., Rm. 2115, University of Virginia Medical Center, Charlottesville, VA 22908.

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