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A nine-year-old girl living in a rural area who had no known exposure to cows presented with a two-week history of several painful lesions on her left forearm where she had been scratched by a free-roaming cat. Two days after the scratch, small vesicles had appeared. Within two weeks the lesions turned to pustules and then enlarged to painful, ulcerated nodules up to 2 cm in diameter and ulcers with black eschars (Panel A). The patient had fever, malaise, and night sweats. Swabs from the lesions grew commensal bacteria. Transmission electron microscopy of biopsy specimens of the lesions did not . . . [Full Text of this Article] |
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