Abstract
CAT-scratch disease usually follows contact with a cat and is characterized by a scratch or papulopustule, regional lymphadenopathy without intervening lymphangitis and occasionally accompanied by fever, and systemic signs and symptoms.1 , 2 Over 500 cases of cat-scratch disease have been reported in the English literature since Greer and Keefer3 first described the entity in 1951. Of 463 cases described in detail,‡ 223 involved the upper extremities, 154 the head and neck, and 86 the lower extremities. Bilateral inguinal involvement was present in only 2 cases.4 , 5 Bilateral involvement in cat-scratch disease is so unusual that a third case is thought worthy of . . .

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