Which complications of cat scratch disease (CSD) are treated with antibiotics?

Updated: Feb 16, 2021
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Patients with neurologic bacillary angiomatosis or ocular manifestations have improved with antibiotic therapy and supportive care or with supportive care alone. In patients with thoracic and/or pulmonary disease, especially in association with prolonged fever and systemic symptoms, a trial of oral TMP-SMZ, ciprofloxacin, or azithromycin 2-3 times daily for 7-21 days is recommended. In the rare case of a severely ill patient, intramuscular gentamicin 5 mg/kg/d may be effective within 72 hours; continue treatment for 6-8 weeks.


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