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Cat scratch disease in 9-year-old patient - a case report
Polski Przeglad Chirurgiczny
|May 24, 2016
Summary
Cat scratch disease (CSD), a zoonotic infection caused by Bartonella henselae, typically presents with fever and swollen lymph nodes after a cat scratch. Early diagnosis and pharmacological treatment led to a successful recovery in a pediatric case presenting with severe odema and lymphadenopathy.
Area of Science:
- Infectious Diseases
- Bacteriology
- Zoonotic Infections
Background:
- Cat scratch disease (CSD), or bartonellosis, is a zoonotic infection caused by Bartonella henselae or Bartonella quintana.
- Transmission typically occurs through scratches or bites from infected cats, particularly kittens.
Observation:
- A 9-year-old girl presented with odema and lymphadenopathy in the right submandibular space, initially treated for dental issues without improvement.
- Symptoms included fever and localized lymphadenopathy, with lymph nodes becoming sore and suppurating.
- Differential diagnoses considered malignancy due to symptom presentation.
Findings:
- A lymph node biopsy led to a provisional diagnosis of CSD.
- Serological testing confirmed Cat Scratch Disease.
- Pharmacological treatment resulted in the patient's full recovery.
Implications:
- Highlights the importance of considering CSD in pediatric cases with unexplained lymphadenopathy and odema, even after dental treatment.
- Emphasizes the role of serological testing in confirming the diagnosis.
- Demonstrates the efficacy of pharmacological treatment for CSD, leading to favorable outcomes.
