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Cat scratch disease in a child

C F Hsu1, C C Wang, S J Chen

  • 1Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.

Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi [Journal]. Zhonghua Minguo Xiao Er Ke Yi Xue Hui
|March 1, 1997
PubMed
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This case study details a 9-year-old girl diagnosed with Cat Scratch Disease (CSD) after a kitten scratch. Prompt treatment with gentamicin effectively resolved her symptoms, highlighting the importance of timely diagnosis and intervention for CSD.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Microbiology

Background:

  • Cat Scratch Disease (CSD) is a bacterial infection transmitted by cats, primarily kittens.
  • Bartonella henselae is the main causative agent of CSD, leading to characteristic symptoms.

Observation:

  • A 9-year-old girl presented with cervical lymphadenopathy, fever, and malaise three weeks after a kitten scratch.
  • Clinical signs included a pustula at the scratch site and conjunctivitis, meeting diagnostic criteria for CSD.
  • Initial treatment by a physician was ineffective, with symptoms persisting for a week.

Findings:

  • Laboratory tests revealed leukocytosis and an elevated erythrocyte sedimentation rate.
  • Indirect fluorescent antibody (IFA) testing confirmed a high serum IgG titer (1:256) to Bartonella henselae.

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  • Intravenous gentamicin therapy resulted in rapid fever resolution within 24 hours.
  • Implications:

    • This case underscores the importance of recognizing CSD symptoms in pediatric patients.
    • Effective treatment with gentamicin led to a full clinical recovery, demonstrating its therapeutic value.
    • Early diagnosis and appropriate antibiotic management are crucial for favorable outcomes in CSD cases.