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Pediatric case


Pediatric case


حالة سريرية

الوصف الكامل Background

A two-year-old white male presented with a four week history of an enlarging left cervical lymph node, which became progressively erythematous and tender over the previous two weeks despite oral antibiotics. A small scratch was noted on the child's chin. A subtotal excision of the node was performed, and all cultures and microbiologic stains of the necrotic material obtained were negative. Histologic sections demonstrated necrotizing granulomatous inflammation. Pleomorphicbacilli were seen with the Warthin-Starry stain. This lesion healed rapidly. The adenopathy has resolved and the child has had no further difficulties

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What is the likely dignosis

Al Durra's picture
by
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Cat scratch
the bug is Pasturella maltocoida the symptoms occur after 3 days of the scratch
does not need any treatment
Cat bite
the bug is Bartonella hensela the symptoms occur after 3 weeks of the bite
here we need to treat with proper antibiotics I think
doxocyclin or amoxicillin

Sometimes may be missed with lymphoma in the adults

Hot sauce's picture
Hot sauce
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no comment Eye-wink

exactly
here it is cat scratch disease

Al Durra's picture
Al Durra
بعد التخرج

Quote:
Cat scratch
the bug is Pasturella maltocoida the symptoms occur after 3 days of the scratch
does not need any treatment
Cat bite
the bug is Bartonella hensela the symptoms occur after 3 weeks of the bite
here we need to treat with proper antibiotics I think
doxocyclin or amoxicillin

Sometimes may be missed with lymphoma in the adults

Sorry guys I have done a mistake hereEmbarrased Embarrased Crying or Very sad just correct it as the follow
Cat scratch caused by Bartonella hensela
Cat bite is caused by Paturella maltocoida

Hot sauce's picture
Hot sauce
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add please the following note
the ab of choice for prophylaxis in cat/dog bite is amoxcillin/calvulanic acid
aka augmentin
aka coamoxiclav

Dr_Ayyad
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