Diferencia entre revisiones de «Cat-scratch disease»
m (Rossdonaldson1 moved page Cat Scratch Disease to Cat-scratch disease) |
Sin resumen de edición |
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| Línea 3: | Línea 3: | ||
==Clinical Features== | ==Clinical Features== | ||
* | *History of cat (normally kitten) exposure | ||
*Lymphadenitis proximal to exposure | *Lymphadenitis proximal to exposure | ||
===Parinaud's oculoglandular syndrome=== | |||
* | *Due to direct inoculation of the eye | ||
*Causes conjunctivitis, ocular granuloma, periauricular adenopathy | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
== | |||
*IFA | ==Diagnosis== | ||
===Work-up=== | |||
*Indirect fluorescence assay (IFA) or ELISA testing | |||
===Evaluation=== | |||
*Generally clinical diagnosis | |||
==Management== | ==Management== | ||
*Immunocompetent | *Immunocompetent | ||
**Adult (>45kg): [[Azithromycin]] 500mg PO x1, then 250mg/day x 4 days | **Adult (>45kg): [[Azithromycin]] 500mg PO x1, then 250mg/day x 4 days | ||
**Child (<45kg): [[Azithromycin]] 10mg/kg x1, then 5 mg/kg per day x 4 days | **Child (<45kg): [[Azithromycin]] 10mg/kg x1, then 5 mg/kg per day x 4 days | ||
==Disposition== | ==Disposition== | ||
*Admit if immunocompromised or evidence of systemic disease. | |||
*Otherwise discharge with PCP follow-up. | |||
=== | ==See Also== | ||
== | ==References== | ||
<references/> | <references/> | ||
[[Category:ID]] | [[Category:ID]] | ||
Revisión del 06:58 18 ago 2015
Background
- Caused by Bartonella henselae
Clinical Features
- History of cat (normally kitten) exposure
- Lymphadenitis proximal to exposure
Parinaud's oculoglandular syndrome
- Due to direct inoculation of the eye
- Causes conjunctivitis, ocular granuloma, periauricular adenopathy
Differential Diagnosis
Diagnosis
Work-up
- Indirect fluorescence assay (IFA) or ELISA testing
Evaluation
- Generally clinical diagnosis
Management
- Immunocompetent
- Adult (>45kg): Azithromycin 500mg PO x1, then 250mg/day x 4 days
- Child (<45kg): Azithromycin 10mg/kg x1, then 5 mg/kg per day x 4 days
Disposition
- Admit if immunocompromised or evidence of systemic disease.
- Otherwise discharge with PCP follow-up.