{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T04:22:30Z","timestamp":1763698950602,"version":"3.45.0"},"reference-count":19,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T00:00:00Z","timestamp":1753056000000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Cat\u2010scratch disease (CSD) is a zoonotic infection caused by the Gram\u2010negative bacterium\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>Bartonella henselae<\/jats:italic>\n                    <\/jats:styled-content>\n                    , typically transmitted through the scratch or bite of a cat. This case report highlights an atypical presentation of CSD in a 30\u2010year\u2010old female pet groomer with prolonged fever, fatigue, and axillary lymphadenopathy. The patient's diagnosis was confirmed through histopathological findings of necrotizing granulomas and subsequent improvement after targeted antibiotic therapy with azithromycin. The case emphasizes the diagnostic challenges posed by atypical presentations of CSD, especially in regions with high cat exposure. This case also underscores the importance of considering CSD in the differential diagnosis of febrile lymphadenopathy and highlights the efficacy of antibiotic therapy in symptom resolution.\n                  <\/jats:p>","DOI":"10.1002\/ccr3.70641","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T13:08:59Z","timestamp":1753103339000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Atypical Presentation of Cat\u2010Scratch Disease in a 30\u2010Year\u2010Old Female: A Case Study"],"prefix":"10.1002","volume":"13","author":[{"given":"Elham Mohammed","family":"Khatrawi","sequence":"first","affiliation":[{"name":"Department of Basic Medical Sciences College of Medicine, Taibah University  Madinah Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neo Zhong Yi","family":"Benjamin","sequence":"additional","affiliation":[{"name":"University of Lancashire  Preston UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pugazhendi","family":"Inban","sequence":"additional","affiliation":[{"name":"Internal Medicine St. Mary's General Hospital and Saint Clare's Health  New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sai","family":"Sakthi","sequence":"additional","affiliation":[{"name":"Madha Medical College  Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5021-263X","authenticated-orcid":false,"given":"Omniat Amir","family":"Hussin","sequence":"additional","affiliation":[{"name":"Internal Medicine Manhal University  Khartoum 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