Diagnosis Based on History, Not Examination

Authors

  • Philippa Tepper Hospital Medical Officer, South West Healthcare, Warrnambool, VIC, 3280, Australia. Author
  • Adel Ekladious Bega-south East Regional Hospital, 4 Virginia drive, NSW 2550, Australia. Author

DOI:

https://doi.org/10.47363/JJCMR/2021(1)118

Keywords:

Cat Scratch Disease, Tender Lymphadenopathy, Bartonella Henselae

Abstract

Cat scratch disease (CSD), caused by the bacterium Bartonella henselae, is usually self-limiting, presenting with low-grade fever and tender lymphadenopathy. With delayed diagnosis or reactivation of latent disease, CSD is associated with severe debilitating symptoms. We are presenting a patient who proved a diagnostic challenge, before being found to have reactivation of Bartonella henselae, requiring three-months IV Trimethoprim-Sulfamethoxazole and Hydrocortisone.

Author Biographies

  • Philippa Tepper, Hospital Medical Officer, South West Healthcare, Warrnambool, VIC, 3280, Australia.

    Philippa Tepper, Hospital Medical Officer, South West Healthcare, Warrnambool, VIC, 3280, Australia.

  • Adel Ekladious, Bega-south East Regional Hospital, 4 Virginia drive, NSW 2550, Australia.

    Adel Ekladious, Internal Medicine Specialist, Faculty of Health and Medical Sciences, University of Western Australia, 35 Stirling Highway Perth, WA, 6009, Australia, Bega-south East Regional Hospital, 4 Virginia drive, NSW 2550, Australia.

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Published

2021-10-23

Issue

Vol. 1 No. 4 (2021): Volume 1 Issue 4

Section

Articles