NEET PG Medical – 2018 – Question – 45
Stellate granuloma seen in
a) Sarcoidosis
b) Cat scratch disease
c) Cryptococcosis
d) Histoplasmosis
Show Answer
Correct Answer – B
Answer: B – Cat scratch disease
Bacterial infection causes by Bartonella henselae
Acquired infected cat/kitten scratch
Histology:
- Characterized by granulomatous inflammation of lymph nodes.
- Skin lesion demonstrates a circumscribed focus of necrosis
- Regional lymph nodes demonstrate follicular hyperplasia with
central stellate necrosis with neutrophils, surrounded by palisading histiocytes (suppurative granulomas) & sinuses packed with monocytoid B cells, usually without perifollicular and intrafollicular epithelioid cells.