Cat-Scratch Disease with Encephalopathy

Abstract
A case of encephalopathy complicating cat-scratch disease has been de scribed. Neurologic signs manifested by convulsions and stupor appeared ten days after epitrochlear lymphadenopathy. The clinical course gradually improved over the next few days and recovery was complete. The spinal fluid was normal. The skin test with CSD antigen was positive. In all cases of encephalopathy developing within six weeks following the appearance of un explained lymphadenopathy, the diagnosis of cat-scratch disease should be entertained. The importance of the cat-scratch disease antigen in diagnosis is emphasized.

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