It is characterized by subacute regional lymphadenitis that is often associated with systemic symptoms such as fever and malaise.1 Approximately 10% of patients with cat scratch disease develop atypical disease, including neuroretinitis, encephalitis, Parinaud's oculoglandular syndrome, erythema nodosum, arthritis, osteomyelitis, and other manifestations.1 Although the disease has been reported in