The Basics
Reservoir of CSD
What are cats?
If scratched or bitten by a cat, you should...
What is immediately wash the site with soap and water?
There is no evidence that...
What is declawing cats decreases the risk of transmission of B. henselae to humans?
Incubation period for CSD
What is 3-14 days after being infected?
Vector of CSD
What are fleas?
Fleas spread B. henselae to cats, giving them a blood infection without symptoms.
Type of isolation required
What is none?
CSD is not transmitted by human-to-human contact, so no isolation is required!
Percent of CSD that becomes atypical
What is 1.5% of all cases?
Length of recovery from CSD
What is 2-4 months?
Transmittance of CSD
What is a cat bites/scratches or licks an open wound?
Ways to avoid contracting CSD
What is keep you cat’s nails trimmed short, keep all your pets on year-round flea control, and keep your cats indoors?
CSD initially described in... (decade)
What is the 1930s, and the association of the illness with cats was identified in the 1950s?
Name of vaccine for CSD
What is not currently a vaccine available for cats or people?
Signs of CSD
What is skin bumps (papules) or rash, fever, fatigue, loss of appetite/ weight loss, muscle/bone/joint aches, scab/blister filled with pus (pustule) at scratch site, or swollen, painful lymph nodes?
Higher incidence rates of CSD are found in...
What is southern states and children that are 5-9 years of age?
Atypical CSD can lead to...
What is endocarditis, hepatosplenomegaly, bacillary angiomatosis, Parinaud’s oculoglandular syndrome, neuroretinitis or encephalopathy when it spreads to other organs?
Testing if a patient has CSD
What is perform a physical exam to look at the wound, look at the patient's skin for a rash or bumps and feel the patient's lymph nodes?
Additionally, a blood test can be done or a sample of fluid from the patient’s lymph nodes to test for B. henselae bacteria.
Causative agent of CSD
What is Bartonella henselae (B. henselae)?
CSD's distribution is...
What is worldwide?
55% of cases are in children younger than 18 years of age with 60% of these are males. More than 1/2 occur in September through January in the United States.
Name of the pathologist that discovered CSD
What is Dr. Douglas Wear, who identified a new bacterium in the lymph nodes of cat scratch patients which led to decades of research to identify the bacteriologic agent?
Treatment for CSD includes...
What is a provider can prescribe azithromycin to get rid of the bacteria in those who are immunocompromised?
Usually CSD goes away on its own, so treatment helps with the symptoms. Managing symptoms includes taking over the counter pain medication, applying a warm compress to lymph nodes or draining the lymph nodes.