cat-scratch disease?

Question

My mother was told she has swollen lymph in her breast and she was to be tested far cat-scratch disease are fever ,i would like to know more about this. and i would like to know if she has her lymph removed what does she do to prevent this again if all possible. thank you concerd daughter

Answer 1

she needs a mamogram tell her to go to a obgyn ...i have breast cancer ...what kind of tests were done on her like ,mamogram,ultrasound,,,Cat-Scratch Disease (CSD)

Incubation period of 1-2 weeks.

Symptoms of classic CSD range from mild to severe. In 50% to 90% of cases, a 0.5 to 1-cm brownish papule or pustule forms at the site of the scratch or bite and is considered an indicator of CSD. Regional lymphadenopathy follows in 3 to 10 days, often accompanied by fever, malaise, and anorexia. Mild fever and malaise occur in less than 50% of the patients. Generally, the lymph nodes are 1 to 5 cm in diameter and proximal to the site of B. henselae inoculation. The most commonly involved nodes are in the axillary, epitrochlear, cervical, and supraclavicular areas. Submandibular and preauricular lymphadenopathy involvment is less common. Over a period of weeks or months, lymph nodes may become fluctuant or suppurative or may spontaneously regress. Full resolution generally occurs within 1 month, with or without treatment. Lymph nodes show hyperplasia, granuloma formation, and suppuration (in about 33% of the cases).

An increasing number of atypical manifestations of B. henselae infection are being recognized and include complications of the CNS, liver, spleen, and lungs (Parinaud oculoglandular syndrome, encephalitis, leber neuroretinitis, neuropathy, endocarditis, pneumonia, Erythema nodosum, relapsing bacteremia)(4). The most serious complication is CSD encephalopathy, manifested as headache, tonic-clonic seizures, combative behavior, and coma. These symptoms typically occur suddenly, 1 to 8 weeks after the onset of lymphadenopathy. CSD encephalopathy occurs in fewer than 8% of all CSD patients. Recovery is usually complete; no deaths from CSD encephalopathy have yet been confirmed.

Other relatively common presentations of CSD include idiopathic stellate neuroretinitis (Leber neuroretinitis), which manifests as a loss of visual acuity with a macular star, and Parinaud oculoglandular syndrome, which manifests as conjunctival inflammation with preauricular adenopathy and a characteristic granulomatous lesion in the conjunctiva. Bartonella infection is thought to be the major cause of both of these ocular conditions. One study suggests that neuroretinitis occurs in 13% of patients with atypical CSD. Parinaud oculoglandular syndrome occurs in about 4% of all CSD patients.

Immunocompromised patients:

1) Bacillary angiomatosis ( skin lesion) This disease is also caused by Bartonella quintana the cause of trench fever.
2) Peliosis hepatica- (pathology slide)

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DIAGNOSIS
A clinical diagnosis of "classical" CSD is made if 3 of the following 4 criteria are
met:
history of cat contact resulting in a scratch or primary lesion of the dermis eye, or a mucous membrane;
a positive skin test response to CSD skin-test antigen or positive indirect fluorescent antibody test to detect B. henselae. This indirect fluourescent antibody test is highly specific. Unfortunately, it can be less than 50% sensitive.
negative laboratory investigation (i.e., PPD skin tests and cultures of aspirated pus or lymph nodes) for unexplained lymphadenopathy;
and characteristic lymph node lesions.

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THERAPY
CSD= Efficacy of therapy not proven. Although not necessary, there may be some clinical benefit to using antibiotics, such as azithromycin, to treat classic CSD (3). Symptomatic care for most patients is indicated. Swollen lymph nodes will resolve in 1-6 months. The infection will resolve in 90% of the patients without treatment.
*If lymph node swelling is extensive recent suggestions for treatment include: azithromycin 500 mg daily for 1 week, then 250 mg once daily for 4 weeks.

*Retinitis- Doxycycline 100 mg twice daily + rifampin 300 mg twice daily x 4-6 weeks.

*Endocarditis- culture positive- Doxycycline 100 mg orally twice daily for 6 weeks + gentamicin 3 mg/kg/d intravenously for 14 days.

Antibiotics can be of benefit in cases of severe disease (encephalopathy); rifampin, ciprofloxacin, trimethroprim/sulfamethoxazole, erythromycin, clarithromycin, or azithromycin.

*Immunocompromised hosts with bacillary angiomatosis - Erythromycin 500 mg once daily for 3 months
or doxycycline 100 mg twice daily for 3 months.

*Immunocompromised hosts with peliosis hepatica- Erythromycin 500 mg once daily for 4 months or doxycycline 100 mg twice daily for 4 months
To know the major cause(s) of this disease, how it is transmitted, and the major manifestations of the disease.

Specific Educational Objectives: The student should be able to:

1. recite the most common causes of cat-scratch fever (shape and gram stain?).

2. describe the common means of transmission.

3. describe the major manifestations of this infection.

4. describe how you diagnose, treat and prevent this infection.

OVERVIEW
A slowly progressive, self-limiting, and chronic lymphadenopathy occurring in children. The first description is credited to Henri Parinaud, with reference in French literature in 1889. Dr Robert Debre was the first to recognize the cat as a vector for this disorder and coined the term "cat-scratch disease" in 1931.
Synonyms: cat-scratch disease, benign lymphoreticulosis, nonbacterial regional lymphadenitis.

Answer 2

It's very rare to get it because the cat would have to be a carrier, and to be infected prior to this by the fleas that carry it. It's normally called Bartonella in cats and it's not very common. Wash the scratch out good with soap and water. Put some hydrogen peroxide on it to fizz out anything that might be in there, that stuff kills a lot of bacteria and is good for cleaning wounds like this. If the scratch feels hot tomorrow, it may have a slight infection. Soak it a bit and take aspirin (and I'd take a vitamin too, it wouldn't hurt to have your body supplied with what it needs). Most scratches are just scratches. We all get them.

Answer 3

Cat scratch fever is a bacterial infection that a person gets from cat scratches. Not only do lymph glands swell, but the infected person can be very tired all the time, and there can be other symptoms. My husband had it and one of its symptoms was swellings on the inside of his eyelids that broke when pressed. It's disturbing but not life threatening.

It can be treated with antibiotics. WhenEVER a cat scratches you, you should always wash immediately and treat with an antibiotic cream if possible.

Answer 4

Cat scratch disease is caused by the bacteria Bartonella henslae. It is not very serious and can be easily treated with antibiotics. The swelling of the lymph nodes just means your immune system is fighting the infection by multiplying the number of white blood cells and plasma cells available to make antibodies and phaocytose the pathogens.

Answer 5

I would recommend that your mom see an OB/GYN right away and tell her the symptoms. Swollen lymph node (did a doctor say this) can be many things and it requires a specialist to examine her and take a health history.

Answer 6

Do not remove Lymph nodes, you will have more problems than you know, bad problem for life.

Answer 7

1

Answer 8

stay away from cats and don't listen to Ted Nugent

Answer 9

ummm i think it means that ur mom is going to die really soon!!! my grampah died from it. so spend as much time as possible with her and try to comfort her

Answer 10

http://kidshealth.org/parent/infections/bacterial_viral/cat_scratch.html