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eISSN: 2581-9615 || CODEN: WJARAI || Impact Factor 8.2 ||  CrossRef DOI

Research and review articles are invited for publication in May 2026 (Volume 30, Issue 2) Submit manuscript

The diagnostic trap of necrotic granulomas where cat-scratch disease mimics tuberculous lymphadenitis in an adolescent

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  • The diagnostic trap of necrotic granulomas where cat-scratch disease mimics tuberculous lymphadenitis in an adolescent

A. KANDIL *, C. RACHID, M. IJIM, O. FIKRI and L. AMRO

Department of Pulmonology, AR-RAZI Hospital, MOHAMMED VI University Hospital, LRMS Laboratory, Faculty of Medicine and Pharmacy of Marrakech, Cadi Ayyad University, Marrakech, Morocco.

Case Report

World Journal of Advanced Research and Reviews, 2026, 30(01), 2016-2018

Article DOI: 10.30574/wjarr.2026.30.1.1028

DOI url: https://doi.org/10.30574/wjarr.2026.30.1.1028

Received on 10 March 2026; revised on 18 April 2026; accepted on 20 April 2026

Background: Cat-scratch disease (CSD) and tuberculous lymphadenitis are the primary causes of chronic granulomatous lymphadenopathy. Distinguishing between them is challenging when necrosis is present on histopathology. 
Case Report: A 15-year-old girl presented with cervical lymphadenopathy and constitutional symptoms. Despite initial suspicion of tuberculosis due to necrotic granulomas, tests including QuantiFERON-TB Gold, GeneXpert, and cultures were negative. The diagnosis of CSD was confirmed by positive Bartonella henselae serology and the recent acquisition of a kitten. 
Conclusion: CSD can histologically and clinically mimic tuberculous lymphadenitis. A thorough environmental history and serology are essential to avoid diagnostic errors in endemic regions.

Necrotic granuloma; Cat-scratch disease Bartonella henselae; Tuberculous lymphadenitis; Differential diagnosis; Cervical lymphadenopathy

https://wjarr.com/sites/default/files/fulltext_pdf/WJARR-2026-1028.pdf

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A. KANDIL, C. RACHID, M. IJIM, O. FIKRI and L. AMRO. The diagnostic trap of necrotic granulomas where cat-scratch disease mimics tuberculous lymphadenitis in an adolescent. World Journal of Advanced Research and Reviews, 2026, 30(01), 2016-2018. Article DOI: https://doi.org/10.30574/wjarr.2026.30.1.1028

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