Journal article
Cat-Scratch Disease
Otolaryngology--head and neck surgery, Vol.94(5), pp.622-627
06/1986
DOI: 10.1177/019459988609400516
PMID: 3088527
Abstract
Cat-scratch disease has been reported with increasing frequency since its initial description in 1931. It is now recognized as being so prevalent that it probably represents the most common cause of unilateral lymphadenopathy in children, once nonspecific viral diseases and cutaneous infections have been excluded. The cardinal feature of the disease is a subacute regional granulomatous lymphadenitis. Because of its relatively mild natural course, most cases are treated on an outpatient basis. Forty-four children, representing the more seriously ill portion of the disease spectrum, were treated at Texas Children's Hospital from 1972 to 1984 and constitute the data base for this article. Most patients were symptomatic for nearly 1 month prior to admission, typically complaining of low-grade fever and regional lymphadenopathy. The two most common sites of lymph node involvement were the axilla (54%) and the neck (46%). Although there is, at this time, no specifically recommended treatment, 80% of patients received antibiotics and 70% underwent a surgical procedure—usually total nodal excision. Nodal excision was followed by rapid resolution of symptoms. Because cat-scratch disease is benign, surgery should be reserved for severe cases with signs of significant suppuration. Generally, symptomatic relief can be afforded by warm soaks and analgesics and recovery over the course of several weeks is uneventful.
Details
- Title: Subtitle
- Cat-Scratch Disease
- Creators
- James R Spires - From the Department of Otorhinolaryngology and Communicative Sciences, Baylor College of MedicineRichard J.H Smith - From the Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine
- Resource Type
- Journal article
- Publication Details
- Otolaryngology--head and neck surgery, Vol.94(5), pp.622-627
- Publisher
- SAGE Publications; Los Angeles, CA
- DOI
- 10.1177/019459988609400516
- PMID
- 3088527
- ISSN
- 0194-5998
- eISSN
- 1097-6817
- Language
- English
- Date published
- 06/1986
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Molecular Physiology and Biophysics; Anatomy and Cell Biology; Stead Family Department of Pediatrics; Otolaryngology; Internal Medicine
- Record Identifier
- 9984006409402771
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