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American Journal of Roentgenology, Vol 166, 435-438, Copyright © 1996 by American Roentgen Ray Society

ARTICLES

Imaging manifestations of cat-scratch disease

KL Hopkins, SF Simoneaux, LE Patrick, JB Wyly, MJ Dalton and JA Snitzer
Department of Radiology, Egleston Children's Hospital at Emory University, Atlanta, GA 30322, USA.

Cat-scratch disease affects an estimated 22,000 people in the United States each year, more than half of whom are children or adolescents [1]. It is caused by Bartonella henselae, a gram-negative bacillus usually introduced by the scratch of a cat [2]. In the past, diagnosis was made if three of the following four criteria were met: (1) history of cat exposure with inoculation, (2) positive skin test: (3) absent laboratory and histopathologic evidence of other diseases, and (4) biopsy findings of granulomatous inflammation [3]. Recent identification of the causative organism has led to new diagnostic tests, including serum assays for B. henselae antibodies [4]. Although response of the disease to antibiotics is poor, spontaneous recovery generally occurs within months to years [3].
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