Comment on the granuloma. (NEX T Pattern)

a) TB
b) Cat scratch disease
c) Crohn’s
d) Syphilis

Ans. (c) Cat scratch disease

“The image shows a large irregular granuloma called stellate granuloma which is seen in cat scratch disease.
It is caused by bartonella henselae, which is transmitted by cat claws which are contaminated with infected flea faeces.

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