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Cat scratch disease

Cat scratch disease is caused by bartonella species, most commonly bartonella henselae, a gram negative bacilli.

Transmission to humans is via cat scratches.

Presentation:
  • Erythematous papule at site of scratch
  • Regional lympahdenopathy
  • Possibly systemic features such as fever, malaise, headache
  • Possibly hepatosplenomegaly

Rare complications of cat scratch disease include:

Treatment is supportive and possibly antibiotics (rifampicin, ciprofloxacin or gentamicin) in systemic disease.

References:
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Abdelghafour

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Secret collector of interesting anonymised ECGs. Fan of the Bath Photomarathon. Lover of cream teas. [Sarah Hudson] (Your Picture)