Cat Scratch Disease in Children

What is cat scratch disease in children?

Cat scratch disease is a bacterial infection carried in cat saliva. It is passed from a cat bite or scratch to a human. It can also result from a fleabite, but cats are the main source.

What causes cat scratch disease in a child?

Cat scratch disease is caused by the germ Bartonella henselae. The cat or kitten usually appears healthy. The cat licks its paws then scratches or bites the child. If your child rubs his or her eyes after petting a cat's fur, this can also spread cat scratch disease. Young kittens less than 1 year of age are more likely to scratch. The increases the risk for infection.

What are the symptoms of cat scratch disease in a child?

The following are the most common symptoms of cat scratch disease:

  • A cat bite or scratch that does not heal or worsens over time
  • Painful or swollen lymph glands. These are often under the armpits or on the side of the neck.
  • Flu-like symptoms, including headache, tiredness, decreased appetite, fatigue, joint pain, or fever
  • Body rash

The symptoms of cat scratch disease may not appear for more than a week after the child is scratched. Sometimes the delay can be as long as 6 weeks. The symptoms may look like other health conditions. Make sure your child sees his or her healthcare provider for a diagnosis.

How is cat scratch disease diagnosed in a child?

Your child's healthcare provider will ask whether your child has had exposure to cats or kittens. He or she will look for a small bump where the cat scratch has occurred. The provider will check for any swollen lymph nodes. Lab tests are available, but many tests are not considered reliable.

How is cat scratch disease treated in a child?

Treatment will depend on your child’s symptoms, age, and general health. It will also depend on how severe the condition is.

Cat scratch disease will usually go away without treatment. But your child may need to take antibiotic medicine.

What are the complications of cat scratch disease in a child?

Complications are not common. When they happen, they may include problems with the nervous system, body organs, or eyes.

What can I do to prevent cat scratch disease in my child?

Do not let your child play roughly with cats or kittens. Doing so can increase the chances of a scratch or bite. If your child does get a cat bite or scratch, wash the area right away with soap and water.

Cat owners should use products to prevent fleas.

When should I call my child's healthcare provider?

Call your child's healthcare provider if your child develops swollen lymph nodes after being scratched or bitten by a cat.

Key points about cat scratch disease in children

  • Cat scratch disease is a bacterial infection carried in cat saliva.
  • Cat scratches and bites can cause cat scratch disease.
  • Treatment may include antibiotics.
  • It is important to wash the area right away with soap and water if a cat scratches or bites your child.
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