{"id":4387,"date":"2020-06-08T20:57:33","date_gmt":"2020-06-09T03:57:33","guid":{"rendered":"https:\/\/up.physicaldiagnosispdx.com\/up\/?page_id=4387"},"modified":"2020-12-31T20:39:03","modified_gmt":"2021-01-01T04:39:03","slug":"cat-scratch-disease","status":"publish","type":"page","link":"https:\/\/up.physicaldiagnosispdx.com\/up\/infectious-disease-m\/cat-scratch-disease\/","title":{"rendered":"Cat Scratch Disease"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row css=&#8221;.vc_custom_1592019456140{background-color: #fff9f9 !important;}&#8221;][vc_column][vc_column_text]\n<div class=\"textLayer\">\n<div id=\"bp-page-5\" class=\"page\" data-page-number=\"5\" data-loaded=\"true\">\n<div class=\"textLayer\"><span style=\"font-size: 14pt;\">Classic cat scratch disease (fever and regional lymphadenopathy lasting &lt;7 days) is the most common clinical manifestation of Bartonella henselaeinfection.<\/span><\/div>\n<\/div>\n<\/div>\n<figure id=\"attachment_1658\" aria-describedby=\"caption-attachment-1658\" style=\"width: 150px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/up.physicaldiagnosispdx.com\/up\/infectious-disease\/infectious-disease\/#Cat_scratch_disease\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-1658 size-thumbnail\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-150x150.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-150x150.png 150w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-300x300.png 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308.png 512w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a><figcaption id=\"caption-attachment-1658\" class=\"wp-caption-text\">&nbsp;<\/figcaption><\/figure>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 1:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is a young man with a history of orthotopic heart transplantation on chronic immunosuppressive therapy who developed skin nodules following a scratch from his pet cat.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592019481101{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][vc_column_text][\/vc_column_text][\/vc_column][vc_column width=&#8221;3\/4&#8243;][vc_column_text]<div id='gallery-1' class='gallery galleryid-4387 gallery-columns-3 gallery-size-medium'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/infectious-disease_cat-scratch_cat-scratch-disease-pt-1252056\/'><img loading=\"lazy\" decoding=\"async\" width=\"275\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Infectious-Disease_Cat-Scratch_Cat-scratch-disease-pt-1252056-275x300.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Infectious-Disease_Cat-Scratch_Cat-scratch-disease-pt-1252056-275x300.jpg 275w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Infectious-Disease_Cat-Scratch_Cat-scratch-disease-pt-1252056.jpg 554w\" sizes=\"auto, (max-width: 275px) 100vw, 275px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/infectious-disease_cat-scratch_cat-scratch-disease-2-pt-1252056\/'><img loading=\"lazy\" decoding=\"async\" width=\"280\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Infectious-Disease_Cat-Scratch_Cat-scratch-disease-2-pt-1252056-280x300.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Infectious-Disease_Cat-Scratch_Cat-scratch-disease-2-pt-1252056-280x300.jpg 280w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Infectious-Disease_Cat-Scratch_Cat-scratch-disease-2-pt-1252056.jpg 504w\" sizes=\"auto, (max-width: 280px) 100vw, 280px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 2:<\/h1>\n<p><span style=\"font-size: 14pt;\">This patient who is a\u00a0pig farmer was admitted with several weeks of fever, red eyes and cervical lymphadenopathy. He was thought to have lymphoma, but his cervical node biopsy was not confirmatory, so infectious causes were re-explored. Turns out he found a kitten in a pig sty, which led to the diagnosis of cat scratch disease, presenting as Parinaud\u2019s oculoglandular syndrome.<\/span><u><\/u><u><\/u>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592155788700{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text]<div id='gallery-2' class='gallery galleryid-4387 gallery-columns-3 gallery-size-medium'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/bartonella-1\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"225\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Bartonella-1-wpp1592521764352-300x225.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Bartonella-1-wpp1592521764352-300x225.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Bartonella-1-wpp1592521764352.jpg 570w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/bartonella-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"226\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Bartonella-2-wpp1592521813395-226x300.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Bartonella-2-wpp1592521813395-226x300.jpg 226w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Bartonella-2-wpp1592521813395.jpg 426w\" sizes=\"auto, (max-width: 226px) 100vw, 226px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row css=&#8221;.vc_custom_1592019456140{background-color: #fff9f9 !important;}&#8221;][vc_column][vc_column_text] Classic cat scratch disease (fever and regional lymphadenopathy lasting &lt;7 days) is the most common clinical manifestation of Bartonella henselaeinfection. [\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text] Patient 1: This is a young man with a history of orthotopic heart transplantation on chronic immunosuppressive therapy who developed skin nodules following a scratch<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":1787,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"page-templates\/page_PDXPDX-full-width.php","meta":{"nf_dc_page":"","_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"class_list":["post-4387","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/4387","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/comments?post=4387"}],"version-history":[{"count":1,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/4387\/revisions"}],"predecessor-version":[{"id":9804,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/4387\/revisions\/9804"}],"up":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1787"}],"wp:attachment":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/media?parent=4387"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}