Cat Scratch Disease - Pediatric Oncall

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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Question
MY 4 YEAR OLD DAUGHTER DEVELOPED A DIME SHAPED KNOT IN HER UPPER RIGHT THIGH. HER PEDIATRICIAN SAID IT WAS CAT SCRATCH DISEASE. RECENTLY, IT PUFFED UP AND BURST. THERE WAS A LOT OF PUS. I TOOK HER TO THE EMERGENCY ROOM THEY GAVE HER AN ANTIBIOTIC BUT NO ONE SEEMS TO HAVE ANY ANSWERS FOR ME. DO YOU HAVE ANY IDEAS AS TO WHAT THIS COULD BE? PLEASE RESPOND
Answer
Cat-scratch disease is an infection caused by bacteria (germs) carried in cat saliva. The bacteria can be passed from a cat to a human. You can get cat-scratch disease from a cat bite or cat scratch. A sore may develop where a cat has bitten or scratched you. An infection of the lymph nodes (also called lymph glands) also develops, most often in the glands that are near the place where you got the cat scratch or cat bite. In most people, cat-scratch disease clears up without treatment. However, antibiotics (medicines that kill bacteria) may be needed when infected lymph nodes stay painful and swollen for more than 2 or 3 months. Since the boil seems to have burst, the best thing would be to do a culture of the pus and start her on antibiotics. Depending on the organism grown on the culture, the antibiotics may be changed to direct it towards the specific germ. Back to All Questions

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