The cat scratch disease - if a scratch is more

The cat scratch disease or Batonellose is a most dangerous course of infectious disease in humans, mostly as a sub-acute, benign, regional lymph node swelling Expresses. The infection is caused by Bartonella henselae, rod and quintanta caused by cat scratches or - bisse can be transferred. The pathogen can then by the cat (the landlord who does not Sypmtome shows) in the bloodstream of humans.

After three to ten days Inkubationsszeit there will first be a local inflammation at the injury site. After about two weeks, the disease then the nearby lymph nodes, and it can lead to painful inflammation Lympfknotenschwellungen come. The affected area is warm and partly to dents or discolored reddish knots. Partly this is pus stoves, which can break. In - 15% of cases, the atypical cat scratch disease and there may be a generalized swelling of the lymph nodes, liver and splenic enlargement or neurological complications. General symptoms are nausea, headache and body aches and fever. Quite often occur on skin rashes. The cat scratch disease usually heals within two to three week, Lymphknotenvereiterung within one to two months.

It is estimated that in Germany about 13% of domestic cats and 70% of stray cats with the pathogen Bartonella henselae infection. There are no figures on how many MENSCHNER per year in Germany at the cat scratch disease cancer. In the U.S., of 22,000 outpatient and 2000 hospitalized cases KKK expected.

The cat scratch disease usually do not need antibiotic treatment. In surgery portal can be found the following note on therapy:

Controlled clinical trials on the efficacy of different antibiotics are still missing. Only azithromycin was evidence that the disease course in the first 4 weeks can be positively influenced. Heavier histories of CCC is still the empirical treatment with erythromycin, trimethoprim-sulfamethoxazole, ciprofloxacin (with or without gentamycin), rifampicin or Doxyzyklin (in combination with gentamicin or rifampicin) is recommended.

The picture "I knead you" was kevindooley on Flickr under a Creative Commons License available.