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A 70-year-old female with a history of systemic lupus erythematosus who had received a kidney transplant four years before due to lupus nephritis presented to the emergency room with a six-week history of fever and polyarthralgias. She owned a cat and admitted occasional scratches. Physical examination revealed a temperature of 38.2oC and a nontender erythematous nodule on the left calf region. Laboratory tests revealed slight alteration of acute phase reactants. CT scan of the thorax and abdomen showed enlarged lymph nodes in the right inguinal region. Bartonella serology was positive (IgG 1/64), and a positive result of polymerase chain reaction assays for Bartonella henselae in the exudate of the skin lesion confirmed the diagnosis of cat scratch disease. Treatment was started with doxycycline and clarithromycin with complete resolution of symptoms. Isabel Sánchez-Berná, José Antonio Vargas-Hitos, Juan Jiménez-Alonso Servicio de Medicina Interna. Hospital Universitario “Virgen de las Nieves”. Granada. Enviado: 02-03-2016 Revisado: 20-03-2016 Aceptado: 25-03-2016 Dr. José Antonio Vargas Hitos Médico Adjunto del Servicio de Medicina Interna. 9a planta Hospital Universitario  ̈Virgen de las Nieves ̈. Avda. Fuerzas Armadas No 2. 18014 Granada, España Teléfono: +34-958-020494 Email: joseantoniovh@hotmail.com Palabras clave:: Bartonella henselae, lupus eritematoso sistémico, enfermedad por arañazo de gato.

A 70-year-old woman with systemic lupus erythematosus and a six-week history of fever