Despite the presence of pus, it was elected to close the wound to temporarily avoid the morbidity of an open, draining thigh wound. The patient was placed on broad spectrum antibiotics and returned five days later with an intact wound, but an abscess pointing lateral to the incision. The abscess was drained. All cultures were negative. The specimen was sent to the Armed Forces Institute of Pathology (AFIP). Bacilli consistent with Bartonella henselae were found in the biopsy specimen, and a diagnosis of cat scratch disease was made.
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