We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Picture of the Month

Patrick J. Willems; Jorrit Gerritsen; Henk J. Mulder; Jan M. van Loon; Murray Feingold, MD
Am J Dis Child. 1986;140(1):57-58. doi:10.1001/archpedi.1986.02140150059035.
Text Size: A A A
Published online


Denouement and Discussion 

Cat-scratch Fever  A skin pustule or papule resembling an insect bite may be present up to 30 days after the patient is scratched by a cat. Rarely, it develops after a dog or monkey bite or a scratch from a thorn or splinter. With careful scrutiny, the inoculation site can be detected in the majority of patients.Approximately two weeks (range, three to 50 days) after the scratch, regional lymphadenopathy develops in the epitrochlear, axillary, cervical, supraclavicular, submandibular, periauricular, or inguinal areas. The enlarged lymph nodes are painful and tender for one to three months. Most enlarged nodes subside spontaneously, but some suppurate, soften, and drain.Fever, malaise, headache, rash, and flulike symptoms are present in about one third of affected patients. Other clinical manifestations include Parinaud's oculoglandular syndrome, neurologic symptoms, osteomyelitis, thrombocytopenia purpura, a specific type of pneumonia, and erythema nodosum. Laboratory tests are not


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.