Case 212. Bartonellosis (cat scratch disease) (40 y-o F)

       
 
Biopsied axillary lymph node, swollen 2 weeks after bite by a suckling cat
 
       

 

  In the center of the granuloma, small abscess is formed (suppurative granuloma). Langhans-type giant cells are not prominent (HE). Similar suppurative granulomas are seen in tularemia, yersiniasis, lymphogranuloma venereum, melioidosis, Alkaligenes infection and listeriosis.