Question:

Stellate granuloma is seen in:

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A star-shaped suppurative granuloma from a Bartonella infection.
Updated On: Jun 24, 2026
  • Sarcoidosis
  • Cat scratch disease
  • Cryptococcosis
  • Histoplasmosis
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The Correct Option is B

Solution and Explanation

Step 1: Cat scratch disease is a bacterial infection caused by Bartonella henselae, acquired from the scratch of an infected cat or kitten. Step 2: It produces a granulomatous lymphadenitis. The regional lymph nodes show follicular hyperplasia with central stellate (star-shaped) areas of necrosis containing neutrophils, surrounded by palisading histiocytes (a suppurative granuloma). Step 3: This stellate or stellate-shaped suppurative granuloma is the characteristic histological clue. Step 4: Sarcoidosis shows non-caseating epithelioid granulomas, while cryptococcosis and histoplasmosis are fungal granulomas without this stellate suppurative pattern, so cat scratch disease is correct.
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