An unusual presentation of cat-scratch disease

Cat-scratch disease (CSD) is a relatively common entity, particularly in ch ildren. The most common sites of involvement are the axillary lymph nodes, followed by cervical, pre-auricular and submandibular lymph nodes. We prese nt a case of cat-scratch disease in which the initial clinical features wer e indistinguishable from those of acute bacterial tonsillitis with jugulodi gastric lymphadenopathy. This previously unreported apparent mode of presen tation is discussed with reference to the current understanding of the dise ase.