Choice A. would have been correct if this patient was immunocompromised. Per First Aid, "If CD4 <100, Bartonella...Findings: Neutrophilic Inflammation.
However, as this patient has a competent immune system, buzz words are stellate necrotizing granulomas.
Cat scratch disease (Bartonella infection in immunocompetent hosts) causes lymphadenitis (especially in the axillary region) characterized by sarcoid-like non-caseating granulomas filled with neutrophils.
B Hensele- Cat Scratch in immuno-compotent -
Bartonella henselae in Immuno-compromised- Baciliary angiomatotsis
Looks like kaposi sarcoma
"Diffuse neutrophilic infiltrate"
FA 2019 177