cat-scratch disease?

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My mother was told she has swollen lymph in her breast and she was to be tested far cat-scratch disease are fever ,i would like to know more about this. and i would like to know if she has her lymph removed what does she do to prevent this again if all possible. thank you concerd daughter
she needs a mamogram tell her to go to a obgyn ...i have breast cancer ...what kind of tests were done on her like ,mamogram,ultrasound,,,Cat-Scratch Disease (CSD)

Incubation period of 1-2 weeks.

Symptoms of classic CSD range from mild to severe. In 50% to 90% of cases, a 0.5 to 1-cm brownish papule or pustule forms at the site of the scratch or bite and is considered an indicator of CSD. Regional lymphadenopathy follows in 3 to 10 days, often accompanied by fever, malaise, and anorexia. Mild fever and malaise occur in less than 50% of the patients. Generally, the lymph nodes are 1 to 5 cm in diameter and proximal to the site of B. henselae inoculation. The most commonly involved nodes are in the axillary, epitrochlear, cervical, and supraclavicular areas. Submandibular and preauricular lymphadenopathy involvment is less common. Over a period of weeks or months, lymph nodes may become fluctuant or suppurative or may spontaneously regress. Full resolution generally occurs within 1 month, with or without treatment. Lymph nodes show hyperplasia, granuloma formation, and suppuration (in about 33% of the cases).

An increasing number of atypical manifestations of B. henselae infection are being recognized and include complications of the CNS, liver, spleen, and lungs (Parinaud oculoglandular syndrome, encephalitis, leber neuroretinitis, neuropathy, endocarditis, pneumonia, Erythema nodosum, relapsing bacteremia)(4). The most serious complication is CSD encephalopathy, manifested as headache, tonic-clonic seizures, combative behavior, and coma. These symptoms typically occur suddenly, 1 to 8 weeks after the onset of lymphadenopathy. CSD encephalopathy occurs in fewer than 8% of all CSD patients. Recovery is usually complete; no deaths from CSD encephalopathy have yet been confirmed.

Other relatively common presentations of CSD include idiopathic stellate neuroretinitis (Leber neuroretinitis), which manifests as a loss of visual acuity with a macular star, and Parinaud oculoglandular syndrome, which manifests as conjunctival inflammation with preauricular adenopathy and a characteristic granulomatous lesion in the conjunctiva. Bartonella infection is thought to be the major cause of both of these ocular conditions. One study suggests that neuroretinitis occurs in 13% of patients with atypical CSD. Parinaud oculoglandular syndrome occurs in about 4% of all CSD patients.

Immunocompromised patients:

1) Bacillary angiomatosis ( skin lesion) This disease is also caused by Bartonella quintana the cause of trench fever.
2) Peliosis hepatica- (pathology slide)

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DIAGNOSIS
A clinical diagnosis of "classical" CSD is made if 3 of the following 4 criteria are
met:
history of cat contact resulting in a scratch or primary lesion of the dermis eye, or a mucous membrane;
a positive skin test response to CSD skin-test antigen or positive indirect fluorescent antibody test to detect B. henselae. This indirect fluourescent antibody test is highly specific. Unfortunately, it can be less than 50% sensitive.
negative laboratory investigation (i.e., PPD skin tests and cultures of aspirated pus or lymph nodes) for unexplained lymphadenopathy;
and characteristic lymph node lesions.

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THERAPY
CSD= Efficacy of therapy not proven. Although not necessary, there may be some clinical benefit to using antibiotics, such as azithromycin, to treat classic CSD (3). Symptomatic care for most patients is indicated. Swollen lymph nodes will resolve in 1-6 months. The infection will resolve in 90% of the patients without treatment.
*If lymph node swelling is extensive recent suggestions for treatment include: azithromycin 500 mg daily for 1 week, then 250 mg once daily for 4 weeks.

*Retinitis- Doxycycline 100 mg twice daily + rifampin 300 mg twice daily x 4-6 weeks.

*Endocarditis- culture positive- Doxycycline 100 mg orally twice daily for 6 weeks + gentamicin 3 mg/kg/d intravenously for 14 days.

Antibiotics can be of benefit in cases of severe disease (encephalopathy); rifampin, ciprofloxacin, trimethroprim/sulfamethoxazole, erythromycin, clarithromycin, or azithromycin.

*Immunocompromised hosts with bacillary angiomatosis - Erythromycin 500 mg once daily for 3 months
or doxycycline 100 mg twice daily for 3 months.

*Immunocompromised hosts with peliosis hepatica- Erythromycin 500 mg once daily for 4 months or doxycycline 100 mg twice daily for 4 months
To know the major cause(s) of this disease, how it is transmitted, and the major manifestations of the disease.

Specific Educational Objectives: The student should be able to:

1. recite the most common causes of cat-scratch fever (shape and gram stain?).

2. describe the common means of transmission.

3. describe the major manifestations of this infection.

4. describe how you diagnose, treat and prevent this infection.

OVERVIEW
A slowly progressive, self-limiting, and chronic lymphadenopathy occurring in children. The first description is credited to Henri Parinaud, with reference in French literature in 1889. Dr Robert Debre was the first to recognize the cat as a vector for this disorder and coined the term "cat-scratch disease" in 1931.
Synonyms: cat-scratch disease, benign lymphoreticulosis, nonbacterial regional lymphadenitis.  (+ info)

Cat Scratch Disease?

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I have had this for 2 months, been treated by the docs. Lately my lymphs, which were one hard mass seems to be turning into a gell with hard lumps inside and the skin is turning red in the middle and getting hot, sharp pains.
Does anyone know if this means its growing toward the surface and out thru the skin? Is it ending soon?
Cat-scratch disease is an infectious disease that results from a scratch or bite by a cat. Persons with cat-scratch disease can have a range of illnesses from mild to severe. Cat-scratch disease is caused by Bartonella henselae, a bacterium. The bacterium that causes cat-scratch disease is found in all parts of the world. The bacterium is carried by cats and kittens. Infected animals do not become sick. The disease is spread by a scratch or bite from a cat, most often a kitten. The infection spreads from the site of the scratch or bite to the lymph glands. Cats that spread the infection do not look sick. The infection is not spread from person to person. A blister or sore, with or without pus or fluid, often shows up on the skin at the place where the bacteria entered the body. Within 2 weeks, the lymph glands nearby usually become swollen and tender. In most children and adolescents, swollen glands are the main symptom. Adults often have other symptoms such as low fever, tiredness, headache, and loss of appetite. About 5% of persons with cat-scratch disease develop irreversible retinitis (inflammation of the retina of the eye) or encephalitis (inflammation of the brain). Persons with weakened immune systems can become more seriously ill. It usually takes 3 to 10 days for a sore to appear at the site of a cat scratch or bite. The lymph glands nearby usually start to swell about 2 weeks after the scratch or bite. Diagnosis is based on symptoms and a history of a scratch by a cat. A blood test can confirm the diagnosis. Remember to seek medical advice on any matter of which you are concerned.
Hope this helps
Matador 89  (+ info)

can cat scratch disease grew us chicken pox?

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if you have can you tell me the source...

and another one what other symtoms of cat scratch disease?
Ask Ted Nugent.  (+ info)

Does anyone have a personal cat scratch DISEASE story?

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I need a cat scratch disease (not fever) story that i can use for a health project. and please first name. i need this in a hurry i got a lot of other homework to do and its due tomorrow so thank you!!!
I have never heard anyone else mention cat scratch disease.
When I was in the third grade we found a new kitten in our barn, we kept him (still have him to this day). A few months after we got him, he scratched me by my nose right outside my right eye. It was just a scratch, scabbed over, no big deal. After a few days of healing, I was laying in bed going to sleep when my cat who was 11 or 12 at the time re-scratched me in the same exact spot. I didn't think anything of it, but within a few days (maybe weeks, can't remember, that was over a decade ago) I had a lump where the scratch had been. My mum noticed it, didn't like the looks and took me to the pediatrician. I told them what happened, she said it was cat scratch disease which is carried by either really young or really old cats (the two I had) and I was immediately put on the strongest round of antibiotics of my life for 10 days. The lump was still there, the dr said to come back, and they put be on the antibiotics again but for 20 days. I still have a bit of a light scar looking thing where the spot was, but you can only see it if I point it out. So that is my boring cat scratch disease story, I completely forgot about that incident.  (+ info)

is it possible to have cat scratch disease and toxoplamosis at the same time?

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Absolutely. Since a cat is involved in both cases. The protozoan organism called Toxoplasma gondi which is responsible for the disease toxoplasmosis is present in a cat's poo. So if you have a cat which has cat scratch organism in its paws and T gondi in its poo, you could catch the two diseases at the same time. It is not like the situation of the cowpox and smallpox (cowpox prevented the milkmaid from catching smallpox) which lead to the discovery of the smallpox vaccine by Edward Jenner.

Pellegrini Kitara-Okot
http:www.malariapreventiontips.com  (+ info)

how do you recover from cat scratch disease?

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I was diagnoised with it and am having a lot of problems in my eyes, mouth, lips. lips and mouth keep swelling, even my gums.
If you were diagnosed with it by an MD, he/she should have answered this question. Don't just wait and let it run its course, it may not. You need treatment right away. If it is indeed CSF, the infection could spread throughout your body.  (+ info)

what is the difference between mersa and cat-scratch disease?

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MRSA (methicillin resistent Staph aureus) is a staph infection of skin and possibly deeper structures caused by a Staph bacteria (gram positive) that is now resistent to the drug methicillin. Cat scratch fever is caused by Bartonella henselae and Bartonella clarridgeiae, which are rod-shaped Gram negative bacteria (found in SOME cats). It commonly causes the lymph nodes to swell. It can be treated with several different antibiotics. The symptoms for Cat Scratch are a bit different than MRSA.  (+ info)

Do I have cat scratch disease?

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A cat scratched me a bunch of places on my arm and hand, and bit me too. Now, 2 days later they are all red bumps where I got bit/scratched. Big bumps, I've been scratched and bit before and the red marks go away, these ones are different. Do I have cat scratch disease? What can I expect and when will it go away

thanks
  (+ info)

Are pustules from cat scratch disease itchy?

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pustules are dead white cells from your own body. It means the germs are wining.  (+ info)

a question about cat scratch disease?

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my doctor said i might have cat scratch disease im just wondering does cat scratch disease go away
My oldest daughter got it at 16 and it was called cat scratch fever. She ended up in the hospital with surgery because she got a huge abscess in the groin. They dug deep to get it out and when in was analyzed, it was cat scratch fever. The surgery alone took 2 hrs. She really suffered. Hope you don't get it that bad. It will go away eventually and if it gets really bad and you start feeling pain anywhere in your body, go back to the doctor. Please, you don't want to end like Rhonda did.  (+ info)

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