amoxicillin-potassium-clavulanate-combination and Cat-Scratch-Disease

A 33-year old woman presents with unilateral granulomatous conjunctivitis, ipsilateral regional lymphadenopathy and fever. A Bartonella henselae infection is demonstrated by indirect immunofluorescence, and a diagnosis of a Parinaud's oculoglandular syndrome is established. Outcome after treatment with oral doxycycline is satisfactory.. Parinaud's oculoglandular syndrome is the most frequent ocular manifestation of a Bartonella henselae infection.

Topics: Adult; Amoxicillin-Potassium Clavulanate Combination; Animals; Anti-Bacterial Agents; Antibodies, Bacterial; Bartonella henselae; Cat-Scratch Disease; Cats; Doxycycline; Female; Fluorescent Antibody Technique, Indirect; Humans; Leg Injuries; Ocular Motility Disorders; Tomography, X-Ray Computed; Wound Infection

Topics: Amoxicillin-Potassium Clavulanate Combination; Anti-Infective Agents; Bartonella henselae; Bartonella Infections; Cat-Scratch Disease; Child; Diagnosis, Differential; Female; Humans; Immunocompetence; Pain

Cat-scratch disease is a subacute, regional lymphadenitis syndrome that occurs mainly in children. The causative agent is Bartonella henselae. After an incubation period ranging usually between 1 and 2 weeks, red papules develop at the site of cutaneous inoculation and persist until the development of lymphadenopathy with some malaise. Cases with complications have been observed including Parinaud oculoglandular syndrome, encephalopathy, a variety of exanthems and granumatous hepatitis. Diagnosis is based on serologic tests and, when necessary, antimicrobial treatment can be considered. Incision and drainage should not be done.

Topics: Amoxicillin-Potassium Clavulanate Combination; Anti-Bacterial Agents; Bartonella henselae; Cat-Scratch Disease; Child; Drainage; Drug Therapy, Combination; Humans; Lymph Nodes; Male