Ver el código de «Cat-scratch disease»

==Background==
*Caused by [[Bartonella henselae]]

==Clinical Features==
[[File:Cat-scratch disease lesion.jpg|thumb|A lesion on the hand of a person with cat-scratch disease.]]
[[File:Cat-scratch-disease.jpg|thumb|Enlarged lymph node in axilla with cat scratch on hand.]]
*History of cat (normally kitten) exposure
*Most commonly present about 2 weeks after exposure
*Lymphadenitis proximal to exposure
===Parinaud's oculoglandular syndrome===
*Due to direct inoculation of the eye
*Causes conjunctivitis, ocular granuloma, periauricular adenopathy

==Differential Diagnosis==
{{Lymphadenitis DDX}}

==Evaluation==
===Work-up===
*Indirect fluorescence assay (IFA) or ELISA testing

===Diagnosis===
*Generally clinical diagnosis

==Management==
*Immunocompetent
**Adult (>45kg): [[Azithromycin]] 500mg PO x1, then 250mg/day x 4 days 
**Child (<45kg): [[Azithromycin]] 10mg/kg x1, then 5mg/kg per day x 4 days

==Disposition==
*Admit if immunocompromised or evidence of systemic disease.
*Otherwise discharge with PCP follow-up.

==See Also==
*[[Bartonella henselae]]
*[[Mammalian bites]]

==References==
<references/>

[[Category:ID]]