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Cat-Scratch Disease, Pediatric

Camille Sabella, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Cat-scratch disease (CSD) is a zoonotic infection caused by Bartonella henselae, which most commonly causes a subacute, regional lymphadenitis syndrome but is also more rarely associ...

DIAGNOSIS

HISTORY

  • Cat contact

    • 90% of patients have an antecedent cat contact.

  • A cutaneous lesion

    • A red papule generally appears on the skin at the site of inoculation 7 to 12 days after the initial cat sc...

TREATMENT

GENERAL MEASURES

  • The management of typical CSD is supportive.

  • Severe, systemic disease or infection in immunocompromised patients generally warrant antimicrobial therapy.

MEDICATION

  • Antimicrobia...

ONGOING CARE

PROGNOSIS

  • Typical CSD is self-limited. Slow resolution of enlarged or painful lymph nodes will occur over 2 to 4 months.

  • ~10–30% of affected lymph nodes will spontaneously suppurate.

  • Most im...

ADDITIONAL READING

  • American Academy of Pediatrics. Cat-scratch disease. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Red Book: 2015 Report of the Committee on Infectious Diseases. American A...

CODES

ICD9

  • 078.3 Cat-scratch disease

  • 078.3 Cat-scratch disease

ICD10

A28.1 Cat-scratch disease 

SNOMED

79974007 Cat scratch disease (disorder) 

FAQ

  • Q: Can a sibling develop CSD from an infected patient?

  • A: No. There is no evidence of person-to-person transmission; however, asymptomatic household contacts of the index case are more likely to be...

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