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Corticosteroid Therapy of Cat-Scratch Disease: Results of Treatment in Three Cases with Rapid Resolution of Painful Lymphadenopathy; Tietze's Syndrome and Bilateral Cervical Adenitis as New Complications

Corticosteroid Therapy of Cat-Scratch Disease: Results of Treatment in Three Cases with Rapid... Abstract Cat-scratch disease, (nonbacterial regional lymphadenitis, benign infectious lymphoreticulosis), is a nonbacterial regional lymphadenitis that occurs from 3 days to several months after a cat scratch. The course is variable and probably subclinical in some patients, as determined by skin-testing occupational groups with close contact with cats. The full-blown disease may be associated with marked systemic symptoms, fever, anorexia, malaise, weakness, and with severe local symptoms as a result of the markedly tender regional lymphadenopathy. Recent reports have stressed its fall and winter preponderance. Of the cases in one series, 90% occurred during the months of September to February. It seems to occur on occasion in epidemic form.1 Although the disease is self-limited, and spontaneous and complete remission is the rule, it may be associated with severe discomfort and occasionally severe complications. Many therapeutic agents have been used in treatment, namely sulfonamides, chloramphenicol (Chloromycetin), tetracycline, erythromycin, penicillin, and streptomycin, singly References 1. Warwick, W. J., and Good, R. A.: Cat-Scratch Disease in Minnesota , A.M.A. J. Dis. Child. 100:228-247 ( (Aug.) ) 1960.Crossref 2. Prier, J. E.: Cat-Scratch Fever , Ann. N.Y. Acad. Sci. 70:650-667, 1958.Crossref 3. Rauschkolb, R. R.: Cat-Scratch Disease: A Selective Review , A.M.A. Arch. Derm. 79:674-680 ( (June) ) 1959.Crossref 4. Daniels, W. B., and MacMurray, F. G.: Cat Scratch Disease: Non-Bacterial Regional Lymphadenitis; A Report of 60 Cases , Ann. Intern. Med. 37:697-713 ( (Oct.) ) 1952.Crossref 5. Spaulding, W. B., and Hennessy, J. N.: Cat Scratch Disease: A Study of 83 Cases , Amer. J. Med. 28:504-509 ( (April) ) 1960.Crossref 6. Small, W. T., and Sniffen, R. C.: Nonbacterial Regional Lymphadenitis ("Cat-Scratch Fever"): Evaluation of Surgical Treatment , New Engl. J. Med. 255:1029-1033 ( (Nov. 29) ) 1956.Crossref 7. Creditor, M. C., and McCurdy, H. W.: Severe Infectious Mononucleosis Treated with Prednisolone , Ann. Intern. Med. 50:218-222 ( (Jan.) ) 1959.Crossref 8. Bender, C. E., and Houghton, B. C.: Treatment of Infectious Mononucleosis with Corticotropin , Northw. Med. 52:922-925 ( (Nov.) ) 1953. 9. Belber, J. P.; Davis, A. E., and Epstein, E. H.: Thrombocytopenic Purpura Associated with Cat-Scratch Disease: Response of Cat-Scratch Disease to Steroid Hormones , A.M.A. Arch. Intern. Med. 94:321-325 ( (Aug.) ) 1954.Crossref 10. McGovern, J. J.; Kunz, L. J., and Blodgett, F. M.: Non-Bacterial Regional Lymphadenitis ("Cat Scratch Fever"): An Evaluation of the Diagnostic Intradermal Test , New Engl. J. Med. 252:166-172 ( (Feb. 3) ) 1955.Crossref 11. Mollaret, P.; Reilly, J.; Bastin, R., and Tournier, P.: Le Virus de la lymphoréticulose bénigne d'inoculation , Presse Med. 64:1177-1180 ( (June 27) ) 1956. 12. Mollaret, P.; Reilly, J.; Bastin, R., and Tournier, P.: La Découverte du virus de la lymphoréticulose bénigne d'inoculation: 1. Caractérisation sérologique et immunologique , Presse Med. 59:681-682 ( (May 23) ) 1951. 13. Graber, C.; Dodd, M.; Anderson, G., and Wentworth, F.: Quoted in Wentworth, F. H.: Cat Scratch Disease , Pediatrics 22:376-379 ( (Aug.) ) 1958. 14. Dodd, M. C.; Graber, C. D., and Anderson, G.: Hemagglutination of Rabbit Erythrocytes by Pus from Cases of Cat Scratch Fever , Proc. Soc. Exp. Biol. Med. 102:556-558 ( (Dec.) ) 1959.Crossref 15. Kalter, S. S.; Prier, J. E., and Prior, J. T.: Recent Studies on the Diagnosis of Cat Scratch Fever , Ann. Intern. Med. 42:562-573 ( (March) ) 1955.Crossref 16. Lyon, R. L.: Cat-Scratch Fever: Reactivation by Intradermal Test , Lancet 2:555-556 ( (Sept. 15) ) 1956.Crossref 17. Armstrong, C.; Daniels, W. B.; MacMurray, F. G., and Turner, H. C.: Complement Fixation in Cat Scratch Disease Employing Lygranum C. F. as Antigen , J.A.M.A. 161:149-150 ( (May 12) ) 1956.Crossref 18. Manning, J. D., and Reid, J. D.: The Significance of Positive Complement Fixation Tests Against Psittacosis Antigen in Cat Scratch Disease , Amer. J. Clin. Path. 29:430-432 ( (May) ) 1958. 19. Ayres, J. C., and Feemaster, R. F.: Medical Progress: Serologic Tests in the Diagnosis of Infectious Diseases , New Engl. J. Med. 243:1034-1043 ( (Dec. 28) ) 1950.Crossref 20. Greer, W. E. R., and Keefer, C. S.: Cat-Scratch Fever: A Disease Entity , New Engl. J. Med. 244:545-548 ( (April 12) ) 1951.Crossref 21. Stevens, H.: Cat-Scratch Fever Encephalitis , A.M.A. Am. J. Dis. Child. 84:218-222 ( (Aug.) ) 1952. 22. Thompson, T. E., Jr., and Miller, K. F.: Cat-Scratch Encephalitis , Ann. Intern. Med. 39: 146-151 ( (June) ) 1953.Crossref 23. Weinstein, L., and Meade, R. H., III.: The Neurological Manifestations of Cat Scratch Disease , Amer. J. Med. Sci. 229:500-505 ( (May) ) 1955.Crossref 24. Paxson, E. C., and McKay, R. J., Jr.: Neurologic Symptoms Associated with Cat Scratch Disease , Pediatrics 20:13-22 ( (July) ) 1957. 25. Levitt, J. M.: The Oculoglandular Form of Cat-Scratch Disease , J.A.M.A. 165:1955-1956 ( (Dec. 14) ) 1957.Crossref 26. Margileth, A. M.: Cat Scratch Disease as a Cause of the Oculoglandular Syndrome of Parinaud , Pediatrics 20:1000-1005 ( (Dec.) ) 1957. 27. Hinden, E.: Cat-Scratch Disease , Brit. Med. J. 2:444-446 ( (Aug. 24) ) 1957.Crossref 28. Van Leeuwen, G., and Brooke, C. E.: Oculoglandular Cat-Scratch Disease , A.M.A. J. Dis. Child. 99:667-668 ( (May) ) 1960. 29. Lange, H. L.: Cat-Scratch Fever: A Report of 3 Cases , J. Pediat. 39:431-434 ( (Oct.) ) 1951.Crossref 30. Sheldon, G. C., and Smellie, H.: Cat-Scratch Disease with Pneumonia , Brit. Med. J. 2:446-447 ( (Aug. 24) ) 1957.Crossref 31. Adams, W. C., and Hindman, S. M.: Cat-Scratch Disease Associated with an Osteolytic Lesion , J. Pediat. 44:665-669 ( (June) ) 1954.Crossref 32. Collipp, P. J., and Koch, R.: Cat-Scratch Fever Associated with an Osteolytic Lesion , New Engl. J. Med. 260:278-280 ( (Feb. 5) ) 1959.Crossref 33. Kinlaw, W. B.: Cat Scratch Disease: Report of a Case Presenting Hepatosplenomegaly , Conn. Med. 18:960-962 ( (Dec.) ) 1954. 34. Shumway, M., and Davis, P. L.: Cat-Scratch Thyroiditis Treated with Thyrotropic Hormone , J. Clin. Endocr. 14:742-743 ( (July) ) 1954.Crossref 35. Cullen, S. I.: Cat-Scratch Disease Presenting as Bilateral Inguinal Lymphadenitis , New Engl. J. Med. 263:851-852 ( (Oct. 27) ) 1960.Crossref 36. Fox, R. A.: So-Called "Cat Scratch Fever," A.M.A. Arch. Path. 54:75-83 ( (July) ) 1952. 37. Kayser, H. L.: Tietze's Syndrome: A Review of the Literature , Amer. J. Med. 21:982-989 ( (Dec.) ) 1956.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Corticosteroid Therapy of Cat-Scratch Disease: Results of Treatment in Three Cases with Rapid Resolution of Painful Lymphadenopathy; Tietze's Syndrome and Bilateral Cervical Adenitis as New Complications

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Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1962.03620160089012
Publisher site
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Abstract

Abstract Cat-scratch disease, (nonbacterial regional lymphadenitis, benign infectious lymphoreticulosis), is a nonbacterial regional lymphadenitis that occurs from 3 days to several months after a cat scratch. The course is variable and probably subclinical in some patients, as determined by skin-testing occupational groups with close contact with cats. The full-blown disease may be associated with marked systemic symptoms, fever, anorexia, malaise, weakness, and with severe local symptoms as a result of the markedly tender regional lymphadenopathy. Recent reports have stressed its fall and winter preponderance. Of the cases in one series, 90% occurred during the months of September to February. It seems to occur on occasion in epidemic form.1 Although the disease is self-limited, and spontaneous and complete remission is the rule, it may be associated with severe discomfort and occasionally severe complications. Many therapeutic agents have been used in treatment, namely sulfonamides, chloramphenicol (Chloromycetin), tetracycline, erythromycin, penicillin, and streptomycin, singly References 1. Warwick, W. J., and Good, R. A.: Cat-Scratch Disease in Minnesota , A.M.A. J. Dis. Child. 100:228-247 ( (Aug.) ) 1960.Crossref 2. Prier, J. E.: Cat-Scratch Fever , Ann. N.Y. Acad. Sci. 70:650-667, 1958.Crossref 3. Rauschkolb, R. R.: Cat-Scratch Disease: A Selective Review , A.M.A. Arch. Derm. 79:674-680 ( (June) ) 1959.Crossref 4. Daniels, W. B., and MacMurray, F. G.: Cat Scratch Disease: Non-Bacterial Regional Lymphadenitis; A Report of 60 Cases , Ann. Intern. Med. 37:697-713 ( (Oct.) ) 1952.Crossref 5. Spaulding, W. B., and Hennessy, J. N.: Cat Scratch Disease: A Study of 83 Cases , Amer. J. Med. 28:504-509 ( (April) ) 1960.Crossref 6. Small, W. T., and Sniffen, R. C.: Nonbacterial Regional Lymphadenitis ("Cat-Scratch Fever"): Evaluation of Surgical Treatment , New Engl. J. Med. 255:1029-1033 ( (Nov. 29) ) 1956.Crossref 7. Creditor, M. C., and McCurdy, H. W.: Severe Infectious Mononucleosis Treated with Prednisolone , Ann. Intern. Med. 50:218-222 ( (Jan.) ) 1959.Crossref 8. Bender, C. E., and Houghton, B. C.: Treatment of Infectious Mononucleosis with Corticotropin , Northw. Med. 52:922-925 ( (Nov.) ) 1953. 9. Belber, J. P.; Davis, A. E., and Epstein, E. H.: Thrombocytopenic Purpura Associated with Cat-Scratch Disease: Response of Cat-Scratch Disease to Steroid Hormones , A.M.A. Arch. Intern. Med. 94:321-325 ( (Aug.) ) 1954.Crossref 10. McGovern, J. J.; Kunz, L. J., and Blodgett, F. M.: Non-Bacterial Regional Lymphadenitis ("Cat Scratch Fever"): An Evaluation of the Diagnostic Intradermal Test , New Engl. J. Med. 252:166-172 ( (Feb. 3) ) 1955.Crossref 11. Mollaret, P.; Reilly, J.; Bastin, R., and Tournier, P.: Le Virus de la lymphoréticulose bénigne d'inoculation , Presse Med. 64:1177-1180 ( (June 27) ) 1956. 12. Mollaret, P.; Reilly, J.; Bastin, R., and Tournier, P.: La Découverte du virus de la lymphoréticulose bénigne d'inoculation: 1. Caractérisation sérologique et immunologique , Presse Med. 59:681-682 ( (May 23) ) 1951. 13. Graber, C.; Dodd, M.; Anderson, G., and Wentworth, F.: Quoted in Wentworth, F. H.: Cat Scratch Disease , Pediatrics 22:376-379 ( (Aug.) ) 1958. 14. Dodd, M. C.; Graber, C. D., and Anderson, G.: Hemagglutination of Rabbit Erythrocytes by Pus from Cases of Cat Scratch Fever , Proc. Soc. Exp. Biol. Med. 102:556-558 ( (Dec.) ) 1959.Crossref 15. Kalter, S. S.; Prier, J. E., and Prior, J. T.: Recent Studies on the Diagnosis of Cat Scratch Fever , Ann. Intern. Med. 42:562-573 ( (March) ) 1955.Crossref 16. Lyon, R. L.: Cat-Scratch Fever: Reactivation by Intradermal Test , Lancet 2:555-556 ( (Sept. 15) ) 1956.Crossref 17. Armstrong, C.; Daniels, W. B.; MacMurray, F. G., and Turner, H. C.: Complement Fixation in Cat Scratch Disease Employing Lygranum C. F. as Antigen , J.A.M.A. 161:149-150 ( (May 12) ) 1956.Crossref 18. Manning, J. D., and Reid, J. D.: The Significance of Positive Complement Fixation Tests Against Psittacosis Antigen in Cat Scratch Disease , Amer. J. Clin. Path. 29:430-432 ( (May) ) 1958. 19. Ayres, J. C., and Feemaster, R. F.: Medical Progress: Serologic Tests in the Diagnosis of Infectious Diseases , New Engl. J. Med. 243:1034-1043 ( (Dec. 28) ) 1950.Crossref 20. Greer, W. E. R., and Keefer, C. S.: Cat-Scratch Fever: A Disease Entity , New Engl. J. Med. 244:545-548 ( (April 12) ) 1951.Crossref 21. Stevens, H.: Cat-Scratch Fever Encephalitis , A.M.A. Am. J. Dis. Child. 84:218-222 ( (Aug.) ) 1952. 22. Thompson, T. E., Jr., and Miller, K. F.: Cat-Scratch Encephalitis , Ann. Intern. Med. 39: 146-151 ( (June) ) 1953.Crossref 23. Weinstein, L., and Meade, R. H., III.: The Neurological Manifestations of Cat Scratch Disease , Amer. J. Med. Sci. 229:500-505 ( (May) ) 1955.Crossref 24. Paxson, E. C., and McKay, R. J., Jr.: Neurologic Symptoms Associated with Cat Scratch Disease , Pediatrics 20:13-22 ( (July) ) 1957. 25. Levitt, J. M.: The Oculoglandular Form of Cat-Scratch Disease , J.A.M.A. 165:1955-1956 ( (Dec. 14) ) 1957.Crossref 26. Margileth, A. M.: Cat Scratch Disease as a Cause of the Oculoglandular Syndrome of Parinaud , Pediatrics 20:1000-1005 ( (Dec.) ) 1957. 27. Hinden, E.: Cat-Scratch Disease , Brit. Med. J. 2:444-446 ( (Aug. 24) ) 1957.Crossref 28. Van Leeuwen, G., and Brooke, C. E.: Oculoglandular Cat-Scratch Disease , A.M.A. J. Dis. Child. 99:667-668 ( (May) ) 1960. 29. Lange, H. L.: Cat-Scratch Fever: A Report of 3 Cases , J. Pediat. 39:431-434 ( (Oct.) ) 1951.Crossref 30. Sheldon, G. C., and Smellie, H.: Cat-Scratch Disease with Pneumonia , Brit. Med. J. 2:446-447 ( (Aug. 24) ) 1957.Crossref 31. Adams, W. C., and Hindman, S. M.: Cat-Scratch Disease Associated with an Osteolytic Lesion , J. Pediat. 44:665-669 ( (June) ) 1954.Crossref 32. Collipp, P. J., and Koch, R.: Cat-Scratch Fever Associated with an Osteolytic Lesion , New Engl. J. Med. 260:278-280 ( (Feb. 5) ) 1959.Crossref 33. Kinlaw, W. B.: Cat Scratch Disease: Report of a Case Presenting Hepatosplenomegaly , Conn. Med. 18:960-962 ( (Dec.) ) 1954. 34. Shumway, M., and Davis, P. L.: Cat-Scratch Thyroiditis Treated with Thyrotropic Hormone , J. Clin. Endocr. 14:742-743 ( (July) ) 1954.Crossref 35. Cullen, S. I.: Cat-Scratch Disease Presenting as Bilateral Inguinal Lymphadenitis , New Engl. J. Med. 263:851-852 ( (Oct. 27) ) 1960.Crossref 36. Fox, R. A.: So-Called "Cat Scratch Fever," A.M.A. Arch. Path. 54:75-83 ( (July) ) 1952. 37. Kayser, H. L.: Tietze's Syndrome: A Review of the Literature , Amer. J. Med. 21:982-989 ( (Dec.) ) 1956.Crossref

Journal

Archives of Internal Medicine – American Medical Association

Published: Apr 1, 1962

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