Cat Scratch Disease (Parinaud Oculoglandular Syndrome) - Medtick

Cat Scratch Disease (Parinaud Oculoglandular Syndrome)

What is it?

Cat-scratch disease is usually associated with a scratch from a young kitten, although a cat bite and perhaps even touching the eye with a hand that has been licked by an infected kitten can cause the disease.

  • Most persons develop one or more 3-mm to 5-mm, red-brown, nontender papules at the site of inoculation 3-10 days after the bacteria are introduced.
  • These primary lesions last for 1-3 weeks, then recede as lymphadenopathy appears.
  • In most individuals, the disease spontaneously resolves within 2-4 months.

aao.org

Trench fever

  • Transmitted by the human body louse.
  • Because of its association with body louse infestations, trench fever is most commonly associated with homelessness or areas of high population density and poor sanitation.
  • Trench fever received its name during World War I, when many soldiers fighting in the European trenches were infested with infected body lice and became sick with the disease.
  • Trench fever occurs worldwide. Cases have been reported from Europe, North America, Africa, and China.
  • Shows symptoms within a few days or up to five weeks following exposure to the bacterium.
  • Affected individuals may develop sudden fever, chills, weakness, headache, dizziness, leg and back pain, and/or other abnormalities.
  • Initial fever may last about four to five days and may recur one or several times, with each episode lasting about five days.
  • Additional findings may include a temporary skin rash consisting of flat (macular) or raised (papular) lesions
  • Abdominal pain and/or are constant violently vomiting or vomiting longer than two days / one day (if child)
  • Abdominal heaviness and swelling (Enlargement of the liver)
  • Enlargement of the spleen

www.cdc.gov

Carrión’s disease

  • Formerly known as bartonellosis, is transmitted by bites from infected sand flies (genus Lutzomyia).
  • Carrión’s disease tends to occur in the Andes Mountains at 3,000 to 10,000 ft, in elevation in western South America, including Peru, Colombia, and Ecuador.
  • Most cases are reported in Peru.
  • A few cases of Oroya fever and verruga peruana (Peruvian warts) have been reported in travelers who returned from the Andean highlands in South America, but the risk is low.
  • Much is still unknown about which animals may be a part of the natural cycle of this disease.
  • Characterized by two well-defined stages:
    • A sudden, acute phase known as Oroya fever (similar symptoms to malaria)
    • Long term benign skin eruption consisting of raised, reddish-purple nodules known as verruga peruana (Peruvian warts).

www.cdc.gov

Cause

  • Bacteria:
    • Bartonella henselae (cat scratch disease)
    • Bartonella quintana (Trench fever)
    • Bartonella bacilliformis (Carrion’s disease)

Symptoms

  • Swollen or sticky eye or sensitive to light?
  • Swelling in front of eye on the side of affected eye?
  • Growths in whites of eye and eye lids?
  • High temperature greater than 38°C (100°F) or over and/or chills and sweats longer than 72 hours?
  • General discomfort (muscle weakness), uneasiness or ill feeling (malaise) and/or fatigue (tiredness)?
  • Headache which is on and off or a constant headache longer than 24 hours?
  • Poor appetite?
  • Unusual streaked rash that resembles ‘stretch marks’ from pregnancy?
  • Swollen glands are typical, especially around the head, neck and arms?
  • Joint pain and stiffness?
  • Enlarged, tender lymph nodes that develop 1–3 weeks after exposure?
  • A papule or pustule at the site of the scratch?
  • Severe anaemia (Carrion’s disease)?
  • Verruga peruana-Peruvian warts (Carrion’s disease)-see images?

Complications /Information to beware of/General tips:

Medical Emergency Condition

And/or do not wait, phone for ambulance if have or develop:


This condition can be mistaken for and/or show similar symptoms to:

Detailed Information

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