Axillary Lymphadenitis in an Adolescent Patient


ÖZSÜREKCİ Y., KARADAĞ ÖNCEL E., CENGİZ A. B. , KARA A.

JOURNAL OF PEDIATRIC INFECTION, vol.6, no.4, pp.158-160, 2012 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 6 Issue: 4
  • Publication Date: 2012
  • Doi Number: 10.5152/ced.2012.43
  • Journal Name: JOURNAL OF PEDIATRIC INFECTION
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.158-160
  • Hacettepe University Affiliated: Yes

Abstract

Cat-scratch disease is a human infection caused by Bartonella henselae, a small pleomorphic Gramnegative bacilli. Most patients have had contact with cats. Cat-scratch disease appears to be more common among children. Here, we describe a 15-yearold boy who presented with tender, axillary lymphadenopathy and was diagnosed with cat-scratch disease despite no contact with cats. Following intravenous ampicillin-sulbactam and amikacin, there was no improvement in symptoms. The Bartonella henselae IFA test was 1/1024. Azithromycin therapy was given for 10 days. During follow-up, an improvement in lymph node size was seen after treatment. We report this case to emphasize the importance of considering cat-scratch disease in the differential diagnosis of lymphadenopathy in children even if there has been no contact with cats.