Ok. Ok… I peeked the answer 😳 cat scratch disease firework appearance. Bartonella henselae is causative organism and can be transmitted through broken skin from cats/kitten saliva and sometimes with flea bites! This appears to be disseminated variant (less common) — when infection is not stopped at regional LNs. Serology for diagnosis. Doxycycline + rifampin for this particular pt as they have ocular variant. Thank you, I learned something today 😝
@schowardjd Scott, what am I looking at?
@schowardjd toxoplasmosis and then looked at the sun during the eclipse?