Eritema nodoso: gatta ci cova

Erythema nodosum is a panniculitis that can be triggered by many different stimuli. The paper describes the case of a child who presented with erythema nodosum as the unique clinical manifestation of cat scratch disease. Bartonella henselae infection usually presents with non-tender papule in the scratch line followed by subsequent onset of regional lymphadenopathy eventually associated with systemic symptoms. It can also present with atypical manifestation, such as erythema nodosum. The heterogeneity of the clinical presentations makes the disease to be underdiagnosed, whereby it is important to recognize atypical manifestations. Therefore, it is recommended to include Bartonella henselae serology in the diagnostic evaluation of erythema nodosum.

Diagnosis Based on History, Not Examination

Cat scratch disease (CSD), caused by the bacterium Bartonella henselae, is usually self-limiting, presenting with low-grade fever and tender lymphadenopathy. With delayed diagnosis or reactivation of latent disease, CSD is associated with severe debilitating symptoms. We are presenting a patient who proved adiagnostic challenge, before being found to have reactivation of Bartonella henselae, requiring three-months IV Trimethoprim-Sulfamethoxazole andHydrocortisone.

Cat-scratch disease in young male: a case report

Cat scratch disease (CSD) is an infectious disease caused by infected cat when it scratches a person hard enough to break the surface of skin. Although it’s a rare disease, the frequency of disease is 1 in 10,000 people. Here we are presenting a case of CSD which was diagnosed with the help of HPE and confirmed by history of scratch from patient’s pet cat. The patient was successfully treated with antibiotic therapy without any complications. However, prognosis is generally good, negligence of disease may lead to serious complications. A correlation of detailed history with clinical presentation as well as high index of suspicion will aid in accurate diagnosis of CSD.

HEALTH RISKS THAT CAT SCRATCH DISEASE CREATES IN HUMANS, CONTROL AND TREATMENT CHOICES

It is concluded that animal health affects directly human health considering the fact that major part of diseases in humans result from animals. Bartonella agents are isolated from humans, rodents, rabbits, dogs, ruminants, wild and domestic cats. Bartonella infections are most commonly seen in domestic cats. Cats are considered primary mammalian reservoir in the transmission of zoonotic Bartonella (B.) henselae and B. clarridgeiae infections. Bartonella, vector-borne pathogen commonly appeared in our country and the world, can cause from mild flu signs to severe diseases such as endocarditis, myocarditis, arthritis, hepatitis in humans and animals. After Bartonella infections are transmitted by fleas to cats, cats may remain chronically infected with bacteria for months or years and especially they can transmit the infection to humans by bites or scratches. Cats infected by Bartonella spp. without any clinical signs can transmit the infection to humans. In the context of this review in the light of mentioned knowledge, data were presented for prevalence situations belonging to regions and countries that Bartonella infection commonly occurs in Turkey and the world. In addition, knowledge was given obtained from recent scientific sources for transmission ways of bartonellosis, clinical signs that it causes in humans and animals, diagnosis methods, treatment and control.

Cervical osteomyelitis and an epidural abscess: an unusual form of cat-scratch disease in one case

Background The association of cervical osteomyelitis with epidural abscess is extremely rare; atypical symptomatology is what makes diagnosing and management challenging. This case is the sixth case reported in the literature. The objective of our study is to describe the clinical manifestation and treatment approach. Case presentation A 71-year-old male with no medical history, who was admitted to the emergency room for C7-T1 spinal cord compression caused by Bartonella henselae, marked improvement after decompression by evacuating the empyema and antibiotic course. Conclusion Cat-scratch disease or subacute regional lymphadenitis is a bacterial infection caused by Bartonella henselae; children and adolescents are mostly infected. Systemic complications are rare; the prevalence of bone damage is estimated at 0.1 to 0.3%. Our case allows a literature review of and put in focus on our diagnostic and therapeutic attitude.

Cat Scratch Disease as a Mimicker of Malignancy

Cat Scratch Disease (CSD) infrequently mimics malignancy. We reviewed 11 such cases at MD Anderson Cancer Center and an additional 36 reported from the literature. Breast cancer, sarcoma, and lymphoma were the most commonly suspected malignancies. Most patients were young, female, had prior cat exposure and had no systemic symptoms. Regional lymphadenopathy was the most common finding.

Skin lesions caused by Orthopoxvirus, cowpox - case report from Poland

Background:Despite the elimination of smallpox, other orthopoxviruses, including cowpox virus, still infect humans. Wild rodents are its natural reservoir. Infections in humans are commonly reported from contact with sick domestic cats, rarely directly from rats. Cow pox in humans is a rare zoonotic disease, the diagnosis of which is problematic due to its rarity and thus the lack of clinical experience.Case report:Presented with a summary of the available clinical data on a 15-year-old boy who became infected with cowpox by a domestic cat.The patient developed cutaneous macular changes in the facial area. Within 3 weeks of the onset of symptoms, the lesions progressed through the papular, vesicular and pustular stages before forming a hard black eschars (2 cm in diameter) with erythema and edema and regional lifadenopathy. Differential diagnosis consisting of cat scratch disease, anthrax and brucellosis excluded microbiological examination. The lesions left scars after 8 weeks of continuous topical antiseptic treatment.Conclusions:The clinical course may be complicated, and the improvement takes 4 to 8 weeks. Infection which entered through the skin changes was the cause of antibiotic therapy. Cowpox should be suspected in patients with poorly healing skin lesions accompanied by a painful black eschars with erythema and local lymphadenopathy.