Presentation
Respiratory symptoms such as cough and haemoptysis may not be present. [explainmedicine.com]
Altogether, the book presents a remarkable and a vast amount of potential future research directions based on the link: environment-vectors-pathogens-humans. [books.google.de]
Patients present with unilateral or bilateral acute visual loss. [patient.info]
Cat-scratch disease can atypically present as parinaud oculoglandular syndrome (unilateral conjunctivitis and preauricular lymphadenopathy). [orpha.net]
Unilateral inguinal lymphadenopathy was present, and rapidly progressive encephalopathy developed. [nejm.org]
Entire Body System
- Fever
[…] symptoms of cat scratch fever include: loss of appetite weight loss sore throat Rare symptoms of cat scratch fever may be linked to a more severe version of the disease. [healthline.com]
If a person has had cat scratch fever once, they are unlikely to have it again. Cats can transmit cat scratch fever to people, but people do not usually pass it to each other. [medicalnewstoday.com]
extremely swollen lymph nodes; severe pneumonia; septicemia Q Fever dogs, cats 1-3 weeks typically asymptomatic Rocky Mountain Spotted Fever dogs 2-14 days fever; anorexia; depression; lymphadenopathy; dyspnea; diarrhea; vomiting; joint or muscle pain [borrettanimalhospital.com]
Fever As the name "cat-scratch fever" implies, CDS often features an elevated temperature in patients. Though of course there are many, many other reasons you have a fever, a cat could be to blame. 4. [bustle.com]
Fever, generalized pruritus, loss of appetite, loss of weight and local or generalized lymphadenopathy can be seen.[2] [explainmedicine.com]
- Cat Scratch
What is cat scratch fever? Cat scratch fever, also called cat scratch disease (CSD), is a bacterial infection. The disease gets its name because people contract it from cats infected with Bartonella henselae bacteria. [healthline.com]
Cat or dog ownership and seroprevalence of Ehrlichiosis, Q fever, and cat-scratch disease. Emerg Infect Dis 2003; 9:1337–1340. 14. Wear DJ, Margileth AM, Hadfield TL, Fischer GW, Schlagel CJ, King FM. Cat-scratch disease: a bacterial infection. [revistas.unilibre.edu.co]
Cat-scratch fever, also known simply as "cat-scratch disease" (CDS), is a bacterial infection that cats catch from each other via infected fleas. [bustle.com]
Cat-Scratch Disease Definition Cat-scratch disease is an uncommon infection that typically results from a cat's scratch or bite. [medical-dictionary.thefreedictionary.com]
Cat scratch fever can happen when a person receives a bite, scratch, or lick from a cat that is infected with the bacteria Bartonella henselae. [medicalnewstoday.com]
- Swelling
When the swelling has gone down and there is little chance of more swelling, the device will be removed. [chw.org]
After another 1 to 7 weeks, swelling of lymph glands in the region of the scratch will occur. For example, if the scratch is on the arm, glands in the armpit on the same side of the body will swell. [sahealth.sa.gov.au]
Signs may include cellulites (infection in the cells), pain, swelling, and inflammation of the lymphatic vessels, which can be seen as red streaks in the skin adjacent to a focus of the streptococcal infection. [health24.com]
Symptoms are inflammation and swelling. Meningitis is diagnosed using the symptoms, a CSF tap and maybe even a MRI. [bronberger.co.za]
For some people, however, swelling of the brain may lead to permanent brain damage. [humanillnesses.com]
- Sepsis
Sepsis "Sepsis" is the term we use for an overwhelming bacterial infection. [drreddy.com]
Sepsis c. Septicemia d. Systemic inflammatory response syndrome Which microorganisms are now the most common cause of sepsis? a. Gram-negative bacteria b. Gram-positive bacteria c. Viruses d. [quizlet.com]
severe wound infections and sepsis usually in immunocompromised or those with liver disease (case fatality rate for sepsis 29%) V vulnificus Marine shellfish, crustaceans (eg, shrimp), fish; also environmental in aquatic environments Worldwide; human [merckvetmanual.com]
Pasteurella multocida sepsis and meningitis in 2-month-old twin infants after household exposure to a slaughtered sheep. Clin Infect Dis. 2007;45:e80–e81. 7. Perrin I, Blanc T, Karam R, et al. [journals.lww.com]
To Arachnoiditis (spinal) NOS in (due to) leptospirosis A27.81 leptospiral A27.81 (aseptic) ICD-10-CM Codes Adjacent To A27.81 A25.1 Streptobacillosis A25.9 Rat-bite fever, unspecified A26 Erysipeloid A26.0 Cutaneous erysipeloid A26.7 Erysipelothrix sepsis [icd10data.com]
Respiratoric
- Pneumonia
[…] influenza virus with other respiratory manifestations J120Adenoviral pneumonia J121Respiratory syncytial virus pneumonia J122Parainfluenza virus pneumonia J123Human metapneumovirus pneumonia J1289Other viral pneumonia J129Viral pneumonia, unspecified [cms.gov]
[…] bulls-eye” rash with central clearing; malaise; fatigue; fever; headache; stiff neck; myalgia; arthralgia; lymphadenopathy; chronic recurring arthritis Plague direct contact; fleas; inhalation 1-6 days flu-like signs; enlarged tender lymph node; rapid pneumonia [borrettanimalhospital.com]
He was immunized against this virus by a natural chickenpox infection, complicated by pneumonia, 10 years earlier. [journals.lww.com]
B) Streptococcus pneumoniae. C) Cryptococcus neoformans. D) Haemophilus influenzae. E) Neisseria meningitidis. Meningitis that begins as an infection of the lungs is caused by A) Flavobacterium meningosepticum. B) Streptococcus pneumoniae. [quizlet.com]
Mycoplasma pneumoniae and Bartonella henselae also appear to be emerging as important causes of encephalitis. [academic.oup.com]
Musculoskeletal
- Myalgia
[…] fecal-oral); inhalation; direct contact unknown fever; headache; vomiting; abortion; pelvic inflammatory disease; septicemia; hepatitis; kidney dysfunction; disseminated intravascular coagulation Ehrlichiosis ticks 7-10 days headache; fever; chills; myalgia [borrettanimalhospital.com]
Symptoms such as fever, pharyngitis, myalgias, arthralgias, headache, malaise, pruritic maculopapular rash can be present. [explainmedicine.com]
[…] hispanica, others; some species such as B duttoni are human pathogens and not zoonotic Wild rodents, insectivores, possibly birds Africa, Asia, Europe, Americas; species varies with region Tick bites (mainly Ornithodoros spp) High fever, malaise, headache, myalgia [merckvetmanual.com]
[…] arthropods (fleas) and other animals may also play a role in the pathogenesis · Ticks may serve as vector · 10-40% of pet cats are estimated to be healthy, asymptomatic carriers TYPICAL CLINICAL FINDINGS: · Regional lymphadenopathy, fever, malaise, fatigue, myalgia [askjpc.org]
All three patients had short-lived attacks of fever, headache and vomiting, meningeal irritation, and generalized myalgia. [karger.com]
Skin
- Angiomatosis
In bacillary angiomatosis, lobular proliferation of small blood vessels occurs with the presence of bacilli in adjacent connective tissue and blood vessels. [aafp.org]
Immunocompromised patients are susceptible to other conditions associated with B. henselae and B. quintana, such as bacillary angiomatosis or bacillary peliosis. [monsterologist.blogspot.com]
Bacillary angiomatosis in an immunosuppressed dog. Vet Dermatol. 2010;21:420-428. MORRIS 2015 [askjpc.org]
Neuroretinitis is possibly due to a subretinal angiomatous nodule similar to that seen in bacillary angiomatosis. Bacillary angiomatosis Bacillary angiomatosis almost exclusively occurs in patients who are immunocompromised. [emedicine.medscape.com]
Immunocompromised patients, such as those with HIV, can develop more serious manifestations such as endocarditis and bacillary angiomatosis (tumor-like masses caused by the pathological proliferation of blood vessels). [columbia-lyme.org]
Eyes
- Photophobia
The aforementioned features of encephalitis, ADEM and AHLE distinguish patients with encephalitis from those with meningitis in whom abrupt onset of fever, headache, photophobia, nuchal rigidity and other meningeal signs predominate. [academic.oup.com]
Neurologic
- Seizure
Symptoms and Types Neurological symptoms often associated with meningitis, meningoencephalitis, and meningomyelitis such as impaired movement, altered mental state, and seizures, may be profound and progressive. [petmd.com]
The importance of recognizing and treating continuous seizures and increased intracranial pressure cannot be overemphasized. [academic.oup.com]
In the most severe cases, seizures * and loss of consciousness may occur. [humanillnesses.com]
CSD lymphadenopathy had been diagnosed in both children approximately 3 weeks before the onsets of seizure and coma. [wonder.cdc.gov]
- Irritability
Side effects tend to be minor, consisting of redness at the injection site, slight irritability or a mild fever. [netdoctor.co.uk]
This may be a source of irritation or discomfort so removing it is an important part of maintaining healthy nails. To claim and label their turf. [petcarerx.com]
Eventually the irritation may cause hair loss and infection. These symptoms can exist long after flea infestation has been eliminated and may require treatments of antihistamines and antibiotics. [vetinfo.com]
[…] leukoencephalitis Acute necrotizing myelitis Acute non-infective transverse myelitis Acute transverse myelitis Acute viral transverse myelitis Brainstem encephalitis Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy Cerebral irritation [icd9data.com]
Risk factors include prior surgery, infections, trauma, subarachnoid hemorrhage, and chemical irritation. The prognosis depends on the age of the patient and the underlying aetiology. [medigoo.com]
- Neck Stiffness
Neck stiffness. Sleepiness or lethargy. Increased irritability. Seizures. Skin rashes. Difficulty talking and speech changes. Changes in alertness, confusion, or hallucinations. [chw.org]
The first signs may be a severe headache and neck stiffness followed by fever, vomiting, a rash, and, then, convulsions leading to loss of consciousness. [encyclopedia.com]
Workup
Microbiology
- Coxiella Burnetii
Between 30 and 50% of patients with cardiac valve lesions that have primary infections with Coxiella burnetii (symptomatic or asymptomatic) develop IE within 2 years [ 29 ]. [bmcinfectdis.biomedcentral.com]
Q-fever Q-fever is a disease caused by an organism named Coxiella burnetii. The clinical signs of this disease in humans range from no noticeable signs, to a severe flu like syndrome that may last for months. [agriculture.vic.gov.au]
Psittacosis Q Q Fever Q fever is a bacterial disease caused by Coxiella burnetii and primarily affects cattle, sheep, and goats, although other livestock and pets can carry the bacteria. [doh.wa.gov]
Coxiella burnetii infection, a potential cause of neuroretinitis: two case reports and literature review. Retin Cases Brief Rep. 2007;1:17–19. 175. Alajouanine T, Lhermitte F, Clay R, Corbin J. [dovepress.com]
burnetii Sheep, cattle, goats, cats, dogs, rodents, other mammals, birds, ticks Worldwide Mainly airborne; exposure to placenta, birth tissues, animal excreta; occasionally ingestion (including unpasteurized milk); tickborne infections probably rare [merckvetmanual.com]
- Afipia Felis
In 1983, the Warthin-Starry silver stain was used to discover a Gram-negative bacillus which was named Afipia felis in 1991 after it was successfully cultured and isolated. [monsterologist.blogspot.com]
Proposal of Afipia gen. nov. with Afipia felis sp. Nov. (formerly Cat-scratch disease bacillus), Afipia clevelandenisis sp. Nov. (formerly the Cleveland Clinic Foundation strain), Afipia broomeae sp. Nov., and three un- named genospecies. [revistas.unilibre.edu.co]
History 1991: CSD bacillus named Afipia felis 1992: Rochalimaea henselae isolated Patients with bacillary angiomatosis Refuted role of A. felis in CSD 1993: Genera Rochalimaea and Bartonella united B. henselae currently recognized as causative [slideshare.net]
The causative organism of CSD was originally believed to be Afipia felis, but this was disproved by immunological studies in the 1990s demonstrating that people with cat-scratch fever developed antibodies to two other organisms, B. henselae (originally [en.wikipedia.org]
- Rickettsia Conorii
Anterior ischemic optic neuropathy associated with rickettsia conorii infection. J Neuroophthalmol. 2005;25(3):212–214. 170. Espino Barros Palau A, Morgan ML, Lee AG. Bilateral optic atrophy in endemic typhus. [dovepress.com]
- Gram-Positive Bacteria
Gram-positive encapsulated streptococcus b. Gram-positive nonencapsulated streptococcus c. Gram-positive encapsulated diplococcus d. Gram-positive nonencapsulated diplococcus Which of the following statements about Mycobacterium leprae is FALSE? a. [quizlet.com]
Treatment
Symptomatic treatment, supportive care, supportive therapy, or palliative treatment is any medical therapy of a disease that only affects its symptoms, not the underlying cause. [en.wikipedia.org]
New treatment investigated for brain tapeworm infection Nov 30, 2017 Pretreatment with the anti-tumor necrosis factor drug a viable strategy to manage post-treatment inflammatory response seen with neurocysticercosis treatment. [medlink.com]
Treatment: There is no specific treatment for other viral causes and the emphasis of treatment is supportive. Intravenous broad-spectrum antibiotics may be given to treat secondary bacterial infections. [medigoo.com]
Treatment If a bite or scratch occurs, prompt first aid treatment is necessary followed by medical treatment. First aid treatment should include cleansing with an antibacterial detergent and irrigation with large amounts of water. [health24.com]
Treatment with antibiotics and anticonvulsants can be effective providing that the meningoencephalitis is the result of a tick-borne virus. 7. [vetinfo.com]
Prognosis
The prognosis depends on the age of the patient and the underlying aetiology. The poorest prognosis for meningoencephalitis occurs in patients with HSV encephalitis and subacute sclerosing panencephalitis. Symptoms: Symptoms include: Headaches. [medigoo.com]
Other animals, such as those suffering from distemper, FIP, cryptococcosis, GME or the breed-specific disorders have a somewhat more guarded prognosis. The main complication is progression of neurological disease despite treatment. [canadawestvets.com]
In addition, even experienced physicians often are uncertain about the cause, appropriate therapy, and prognosis. [pedsinreview.aappublications.org]
Their prognosis is much more guarded. [bronberger.co.za]
Prognosis [ 1 ] Complete recovery is usual in 2-5 months. Rarely, there is severe hepatic or neurological involvement, in which case granulomatous hepatitis, neuroretinitis and peripheral neuritis can occur. [patient.info]
Etiology
Symptomatic treatment is not always recommended, and in fact, it may be dangerous, because it may mask the presence of an underlying etiology which will then be forgotten or treated with great delay. [en.wikipedia.org]
A thorough and accurate review is difficult because the syndrome is complex and the number of etiologic agents and mimics of encephalitis are vast. [pedsinreview.aappublications.org]
ETIOLOGICAL AGENTS A list of many of the possible etiological agents, their clinical clues and recommended tests are provided in Tables 2 to 4. [academic.oup.com]
Serological tests for other etiologies were negative. [ncbi.nlm.nih.gov]
Debre postulated tularemia, pasteurellosis, infectious mononucleosis, or tuberculosis as possible etiologic agents, but with no convincing proof. [emedicine.medscape.com]
Epidemiology
[…] laboratory and epidemiologic studies are being conducted. [wonder.cdc.gov]
Aim of the present work is to improve knowledge on ecology of Ixodes ricinus ticks, on epidemiology of some zoonotic agent (Anaplasma phagocytophilum, Bartonella henselae, Bartonella clarridgeiae, Borrelia burgdorferi s.l., Richettsia helvetica, Rickettsia [research.unipd.it]
In dogs infected with Bartonella spp., similar disease manifestations as in human patients have been observed and thus dogs represent epidemiological sentinels for human exposure. [cvbd.org]
Clinicians should consider CSD as a differential diagnosis when assessing previously healthy patients with aseptic meningitis associated with regional lymphadenopathy and epidemiological history of feline contact. [Indexed for MEDLINE] Free full text [ncbi.nlm.nih.gov]
Epidemiology 14. EPIDEMIOLOGY Worldwide distribution Prevalence in warm/humid climates ~ 20,000 cases annually in US 80% under the age of 20yrs 30% of domestic cats are infected 15. [slideshare.net]
Pathophysiology
Additional hints, tips and definitions within specific codes provide extra guidance in coding anatomy, pathophysiology, or other coding directions. [books.google.com]
The internationally acclaimed "gold standard" offers unparalleled coverage of pathophysiology, diagnosis, and treatment of diseases affecting dogs and cats, as well as the latest information on the genome, clinical genomics, euthanasia, innocent heart [books.google.de]
View Article PubMed PubMed Central Google Scholar Raoult D, Marrie T, Mege J: Natural history and pathophysiology of Q fever. Lancet Infect Dis. 2005, 5: 219-226. 10.1016/S1473-3099(05)70052-9. [bmcinfectdis.biomedcentral.com]
" Pathophysiology Most cases of CSD are caused by Bartonella henselae. Bartonella species are small pleomorphic, fastidious, facultative, gram-negative, and intracellular bacilli. [emedicine.medscape.com]
PATHOPHYSIOLOGY In general, meningoencephalitis and encephalitis represent uncommon responses to common infections. Most infected patients have a mild syndrome of meningoencephalitis rather than severe encephalitis ( 6 ). [academic.oup.com]
Prevention
The best defense you can give your pet is to make sure he or she is current on flea, tick, and heartworm prevention and is screened at least yearly during a preventive care exam. [highwayvet.com]
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.de]
To prevent a flea infestation: vacuum the home frequently use flea prevention, such as medication, to protect the cat from flea bites contact a pest control company if a lot of fleas appear in a home The CDC estimate that around 40 percent of cats carry [medicalnewstoday.com]
How Is Encephalitis Prevented? Some of the viral infections that can cause encephalitis, including measles, mumps, and chicken pox, can be prevented with vaccines given in childhood. [humanillnesses.com]
[…] three months, will prevent this disease from occurring. [agriculture.vic.gov.au]