Atypical cat-scratch disease: diagnosis by a serologic test for Rochalimaea species

South Med J. 1994 Apr;87(4):485-7. doi: 10.1097/00007611-199404000-00012.


Three patients with atypical manifestations of cat-scratch disease (CSD) had the diagnosis supported by a newly available serologic assay for antibodies to Rochalimaea henselae. Previously, CSD has been a diagnosis of exclusion because no confirmatory test was readily available. Atypical or severe cases of CSD have often required detailed (and expensive) clinical and laboratory investigation. The use of Rochalimaea-specific serologic tests may help avoid extensive diagnostic testing or invasive procedures in such cases.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Antibodies, Bacterial / analysis*
  • Bacterial Typing Techniques
  • Cat-Scratch Disease / diagnosis*
  • Cat-Scratch Disease / microbiology
  • Child
  • Humans
  • Male
  • Rickettsiaceae / immunology*
  • Rickettsiaceae / isolation & purification
  • Rickettsiaceae Infections / microbiology
  • Serologic Tests


  • Antibodies, Bacterial