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Volume 348:474-476 January 30, 2003 Number 5
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Case 33-2002: A 28-Year-Old Woman with Ocular Inflammation, Fever, and Headache

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by Mushlin, S. B.
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To the Editor: A large variety of infectious agents are associated with fever, headache, and ocular inflammation, as discussed by Mushlin et al. in Case 33-2002 (Oct. 24 issue).1 Whenever lymphadenopathy is involved, cat scratch disease due to Bartonella henselae, which is endemic in the United States, Europe, Africa, Australia, and Japan, should be considered. Cats, particularly kittens, are the principal reservoir.2 Cat scratch disease generally follows a scratch, bite, or lick from a kitten. However, in a small percentage of patients, there is no history of contact with animals.3 Clinical features of cat scratch disease include lymphadenopathy, local cutaneous . . . [Full Text of this Article]



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