{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T12:33:22Z","timestamp":1763037202962,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,6,14]]},"abstract":"<jats:p>A 28-year-old man presented to our clinic over the course of 3 weeks with symptoms that progressed from mild headaches to fever, fatigue, myalgia and an enlarged right preauricular lymph node with ipsilateral conjunctivitis and upper eyelid weakness. Our differential included Epstein Barr Virus\/Cytomegalovirus mononucleosis, bacterial conjunctivitis and lymphoma. We evaluated with CBC, EBV IgM Ab, lactate dehydrogenase level and a CMV IgG Ab which were all within normal limits. During his third visit, we discovered our patient had been scratched by two stray kittens he had adopted 2 months prior. We confirmed the diagnosis with a positive <jats:italic>Bartonella henselae<\/jats:italic> IgG level and diagnosed him with cat scratch disease presenting as Parinaud\u2019s oculoglandular syndrome. He was treated with a 5-day course of Azithromycin 250\u2009mg with definitive improvement.<\/jats:p>","DOI":"10.1136\/bcr-2018-224378","type":"journal-article","created":{"date-parts":[[2018,7,7]],"date-time":"2018-07-07T02:55:09Z","timestamp":1530932109000},"page":"bcr-2018-224378","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Atypical presentation of cat scratch disease: Parinaud\u2019s oculoglandular syndrome with facial nerve paresis"],"prefix":"10.1136","volume":"2018","author":[{"given":"Cristhian","family":"Valor","sequence":"first","affiliation":[{"name":"Internal Medicine, University of Florida College of Medicine, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Huber","sequence":"additional","affiliation":[{"name":"Internal Medicine, University of Florida College of Medicine, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,7,6]]},"reference":[{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.1","doi-asserted-by":"publisher","DOI":"10.1542\/pir.27-4-123"},{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.2","doi-asserted-by":"crossref","first-page":"S71","DOI":"10.1309\/JC8YM53L4E0L6PT5","article-title":"Cat-scratch disease","volume":"121","author":"Lamps","year":"2004","journal-title":"Pathology Patterns Reviews"},{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.3","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1542\/pir.15.9.348","article-title":"Cat scratch disease","volume":"15","author":"Klein","year":"1994","journal-title":"Pediatr Rev"},{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1954.02940490011003"},{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.5","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1985.02140130062031"},{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.6","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/38.5.513"},{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.7","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1128\/CDLI.9.5.1004-1009.2002","article-title":"Comparison of In-House and Commercial Slides for Detection by Immunofluorescence of Immunoglobulins G and M against Bartonella henselae and Bartonella quintana","volume":"9","author":"Maurin","year":"2002","journal-title":"Clinical and Vaccine Immunology"},{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.8","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.micro.50.1.707"},{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.9","doi-asserted-by":"crossref","first-page":"1599","DOI":"10.1056\/NEJM199211263272215","article-title":"Case 22-1992--pathogenesis of cat scratch disease","volume":"327","author":"Perkins","year":"1992","journal-title":"N Engl J Med"},{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.10","doi-asserted-by":"publisher","DOI":"10.1099\/00207713-43-4-777"},{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.11","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/S0065-3101(24)00080-X","article-title":"Cat-scratch disease","volume":"43","author":"Midani","year":"1996","journal-title":"Adv Pediatr"},{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.12","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1978.02120370043011"},{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.13","doi-asserted-by":"publisher","DOI":"10.1016\/0266-4356(90)90042-J"},{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2004.05.222"},{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.15","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.braindev.2017.09.001","article-title":"A pediatric case with peripheral facial nerve palsy caused by a granulomatous lesion associated with cat scratch disease","volume":"40","author":"Nakamura","year":"2018","journal-title":"Brain Dev"},{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.16","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1989.03430060109034"},{"key":"2025082805222083000_2018.jul06_1.bcr-2018-224378.17","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-199806000-00002"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-224378","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:22:29Z","timestamp":1756383749000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-224378"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,6]]},"references-count":17,"alternative-id":["10.1136\/bcr-2018-224378"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-224378","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,7,6]]}}}