Leukocytoclastic Vasculitis, Erythema Nodosum and Large Cervical Lymphadenopathy Associated with Bartonella Henselae Infection in an Adolescent

Typical Cat Scratch Disease (CSD) usually presents with isolated mild lymphadenopathy. An atypical case of this disease is reported with large cervical lymphadenopathy associated with recurrent leukocytoclastic vasculitis and erythema nodosum. This unusual presentation of cat scratch disease sug gests that systemic manifestations of this infection can occur in immunocompetent individuals and that long antibiotic treatment for protacted large cervical lymphadenopathy may be needed.