Abstract
Although necrotizing granuloma of a lymph node was connected to the scratching or clawing by a cat in France in the 1930s, it was first described in the United States medical literature in 1951. Daeschner et al in The Journal 50 years ago, describe 11 Texas children with typical regional lymphadenopathy related to exposure to cats. They describe what we now recognize as various courses of the natural history of this manifestation of Bartonella henselae infection: (1) prolonged fever or no fever; (2) suppurative or nonsuppurative lymphadenitis of a single node; and (3) identification of a festering lesion at the scratch site or no definite primary site of inoculation. They also document chronic suppuration when incision and drainage were performed.
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