0
November 1989, Vol 143, No. 11 >
Article | November 1989

Cat-scratch Disease Therapy FREE

P. J. COLLIPP, MD
Am J Dis Child. 1989;143(11):1261. doi:10.1001/archpedi.1989.02150230019008.
Text Size: A A A
Published online
Article
References
Comments

Sir.—Since my original experience1 with cat-scratch disease, I have remained interested in it and impressed with its stubborn resistance to therapy.

During the last 3 months I have treated 11 children (Table) for catscratch disease with 20 mg/kg of trimethoprim-sulfamethoxazole twice daily for 7 days, and all 11 have shown prompt improvement. The enlarged nodes were visible, very tender, and firm without palpable suppuration. All of these patients were treated with trimethoprim-sulfamethoxazole twice daily within 7 days of the onset of their enlarged gland. The lymph nodes became nontender in 4 to 6 days, and smaller by 7 to 10 days. They were 10 mm or smaller by 3 weeks in all cases. Nine of 11 patients had a history of exposure to cats. There was a primary inoculation lesion (usually a scratch) in 7 of these 11 patients. My prior experience had been to treat them with

REFERENCES

1 +
Collipp PJ, Koch RA.  Cat-scratch fever associated with an osteolytic lesion . N Engl J Med . 1959;;260:278-279.
2 +
Flessner MF.  A tough diagnosis in a neutropenic patient: it's cat-scratch disease . JAMA . 1989;;261:991.
3 +
Carithers HA.  Cat-scratch disease, an overview based on a study of 1,200 patients . AJDC . 1985;;139:1124-1133.
4 +
Gerber MA, MacAlister TH, Ballow M, et al.  The aetiological agent of cat-scratch disease . Lancet . 1985;;2:1236-1239.
5 +
English CK, Wear DJ, Margileth AM.  Cat-scratch disease: isolation and culture of the bacterial agent . JAMA . 1988;;259:1347-1352.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Collipp PJ, Koch RA.  Cat-scratch fever associated with an osteolytic lesion . N Engl J Med . 1959;;260:278-279.
2 +
Flessner MF.  A tough diagnosis in a neutropenic patient: it's cat-scratch disease . JAMA . 1989;;261:991.
3 +
Carithers HA.  Cat-scratch disease, an overview based on a study of 1,200 patients . AJDC . 1985;;139:1124-1133.
4 +
Gerber MA, MacAlister TH, Ballow M, et al.  The aetiological agent of cat-scratch disease . Lancet . 1985;;2:1236-1239.
5 +
English CK, Wear DJ, Margileth AM.  Cat-scratch disease: isolation and culture of the bacterial agent . JAMA . 1988;;259:1347-1352.

Correspondence

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems