How is cat-scratch disease lymphadenitis differentiated from an abdominal inguinal hernia?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Cat-scratch disease lymphadenitis commonly develops in children. Feline contact by a scratch or bite causes Bartonella henselae infection. A papule develops in 3-5 days, followed by regional lymphadenopathy in 1-2 weeks. Some 12% of cases are complicated by attendant symptoms of fever, malaise, myalgia, and anorexia; encephalitis; oculoglandular disease; and severe systemic disease. By 2 months, symptoms usually resolve spontaneously.


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