Cat-scratch disease of the head and neck in a pediatric population: surgical indications and outcomes

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Patrick D MunsonLaura J Orvidas

Abstract

To identify the presentation of pediatric patients with head and neck manifestations of cat-scratch disease, one of the most common causes of subacute or chronic lymphadenitis in children, and to determine surgical indications and outcomes. Case series. All pediatric patients from infancy to age 19 years who presented with clinical symptoms of cat-scratch disease and had an IgG serological test result of more than 1:128 for Bartonella henselae. Nine patients had cat-scratch disease of the head and neck. Median age at presentation was 4 years; median time from symptom onset to presentation was 20 days. Six (67%) children underwent surgical procedures, and median time from presentation to surgical procedure was 43 days. Despite conservative treatment, a minority of pediatric patients with cat-scratch disease may require surgical drainage of abscess and removal of lymph nodes. Surgical treatment provides tissue for diagnosis, is generally well tolerated, affords improved recovery, and has minimal complications.

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Apr 21, 2012·JAAPA : Official Journal of the American Academy of Physician Assistants·Jason C FowlerJonas T Johnson
Sep 13, 2014·Otolaryngologic Clinics of North America·Tara L Rosenberg, Abby R Nolder
Jun 29, 2012·Oral and Maxillofacial Surgery Clinics of North America·Kathryn S Moffett
Nov 6, 2009·Otolaryngologia polska. The Polish otolaryngology·Joanna SzaleniecPawel Strek
Sep 2, 2018·Pediatrics in Review·Michael S WeinstockLee P Smith
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Nov 13, 2009·Current Opinion in Otolaryngology & Head and Neck Surgery
May 13, 2015·Pediatrics·Katherine Y KingMini Michael

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Methods Mentioned

BETA
PCR
dissection
enzyme-linked
biopsy
sedation

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