Cat Scratch Fever (8) - End E1 Flashcards

1
Q

What is the causative agent of cat scratch disease? What was it formerly known as?

A

bartonella henselae

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2
Q

T/F: Bartonella henselae is the only bartonellae to affect humans

A

FALSE - many more

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3
Q

When was cat scratch fever first recognized?

A

1889

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4
Q

What is the prevalence of feline bartonellosis?

A

worldwide

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5
Q

What factors cause a higher prevalence of seropositivity?

A

age, warmer temperatures, higher humidity, feral populations, cats with fleas

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6
Q

Who is more likely to contract cat scratch fever?

A

young children

veterinarians have higher seropositivity

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7
Q

How common is CSF in cats? Which ones?

A

14-55%
likelier in more humid climates
feral cats

no reported morbidity or mortality

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8
Q

How is CSF transmitted?

A

fleas - involves EXCREMENT, NOT saliva

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9
Q

T/F: Bartonellosis can be transmitted via blood transfusions and cannot when cats are in a flea-free environment

A

TRUE

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10
Q

How is CSF transmitted to humans?

A

cat scratch, cat bite, being licked by cats

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11
Q

What is Cat Scratch Disease?

A

usually mild, self-limiting
initial skin vesicle or rash

regional lymphadenopathy

lymph node enlargement
fever, malaise, fatigue

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12
Q

When do complications to CSD resolve? Do antibiotics completely help?

A

6-8 weeks
no

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13
Q

What are atypical manifestations of CSD?

A
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14
Q

What is bacillary angiomatosis?

A

vascular proliferative disease of skin and/or internal organs

AIDS

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15
Q

What is peliosis peliosis/hepatitis?

A

rare; blood-filled cysts and sinusoidal dilatation of liver

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16
Q

T/F: CSD is usually self-limiting

A

TRUE

17
Q

How do you diagnose CSD?

A

culture, PCR, serology

18
Q

What does CSD look like in cats?

A

asymptomatic

possible clinical manifestations - lymphadenopathy, kidney and ocular disease

can have a potential role in chronic diseases

19
Q

How do you prevent CSF?

A

wash wounds ASAP
flea control
avoid bites and scratches

20
Q

T/F: There is not CSF vaccine available

A

TRUE - significant genetic variation

would have to be very broad spectrum to be effective