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CAT-SCRATCH FEVER

DESCRIPTION

Cat-scratch fever is a mild infectious disease of unknown cause resulting from a scratch by a cat. It is not contagious from person to person. More than one family
member can be infected at one time. The skin and lymph glands are involved.
Appropriate health care includes:
  • Self-care after diagnosis.
  • Physician's monitoring of general condition and medications.
  • Surgery to drain the lymph gland, if it contains pus.

    SIGNS & SYMPTOMS

  • A lump, with or without pus or fluid, which starts on the scratched skin 1 to 2 weeks after the cat scratch.
  • Swollen lymph glands near the affected area.
  • Low fever of 99F to 101F (37.2C to 38.3C).
  • Fatigue.
  • Headache.

    CAUSES
    Infection from germs--probably viral -- carried on cat's claws. The infection spreads to lymph glands near the scratch by way of lymphatic vessels.

    RISK FACTORS
    Owning or handling cats.

    PREVENTING COMPLICATIONS OR RECURRENCE

  • Have pet cats declawed by the veterinarian.
  • Teach your child to respect animals and not provoke them.
  • Urge your child not to pick up strange cats.

    BASIC INFORMATION

    MEDICAL TESTS

  • Your own observation of symptoms.
  • Medical history and physical exam by a doctor. Tell your doctor of any cat scratches in the previous 2 weeks.
  • Laboratory skin test to confirm the diagnosis.

    POSSIBLE COMPLICATIONS

    Eye inflammation (rare).

    PROBABLE OUTCOME
    Spontaneous recovery within 3 weeks.

    TREATMENT

    HOME CARE

  • It is not necessary to isolate the ill child because the disease is not transmitted from person to person.
  • It should not be necessary to destroy the cat. Consult your veterinarian.

    MEDICATION

  • Your doctor may prescribe antibiotics for your child, although their effectiveness is not proven.
  • See Medications section for information regarding medicines your doctor may prescribe.

    ACTIVITY
    The child should rest in bed until fever subsides and energy returns, then resume normal activities gradually.

    DIET & FLUIDS
    No special diet.

    OK TO GO TO SCHOOL?

    When signs of infection have decreased, appetite returns, and alertness, strength, and feeling of well-being will allow.

    CALL YOUR DOCTOR IF

  • Your child has symptoms of cat-scratch fever.
  • A swollen lymph gland becomes painful and red. This may indicate that a doctor should open and drain the infected gland. ‡
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