Cat scratch disease
Appears 2×
Teaching point
Tender regional (axillary) lymphadenopathy with a small papule/pustule after a cat scratch and no systemic illness is cat scratch disease (Bartonella henselae); it is self-limiting - expectant management, reserving azithromycin for immunocompromised or systemic disease. Amoxicillin-clavulanate is ineffective.
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