Simply put, cat scratch disease is a disease infected after being scratched by animals such as cats. The injured caught by the cat should be disinfected immediately and the local lymph nodes should be observed regularly. If you have obvious symptoms, you should seek medical advice promptly. Prevention should be done well in the later stage, and the cat's physical examination and manicure should not be ignored.

First, the treatment of cat scratch disease

At present, there is no specific therapeutic drug for cat scratch disease. Once symptoms appear, you should seek medical advice as soon as possible and deal with them symptomatically. Antibiotics can be used when the disease is in an acute stage or when systemic symptoms appear.

1. Symptomatic and local treatment According to different conditions, symptomatic treatment can be carried out appropriately, such as using some antipyretic and analgesic drugs; Wash the damaged skin with disinfectant. After being scratched, wash the scratched part thoroughly with soap and water.

2. Antibiotics can be used when the disease is serious. Bartonella felis is sensitive to many antimicrobial agents. Gentamicin and sulfamethoxazole are commonly used. Azole/trimethoprim (compound sulfamethoxazole? The dose of gentamicin is 5mg/(kg? D) intramuscular injection or intravenous drip, with a course of 5 days; Intravenous injection of gentamicin is the most effective, but children should use it with caution. Sulfanilamide? Sulfamethoxazole/trimethoprim? Azole (SMZ)30 ~ 60/(kg? Time), trimethoprim 6 ~ 12 mg/(kg? Time), twice a day, oral, 7 days as a course of treatment. Other drugs, such as amikacin, tobramycin, ampicillin, cephalosporin, ciprofloxacin, rifampicin, erythromycin and doxycycline, have therapeutic effects on cat scratch disease. Combined medication is more effective for severe patients with encephalitis or basic patients with immunodeficiency.

3. Surgical treatment If the lymph nodes are obviously swollen, painful and suppurative, surgical drainage can be performed. In addition, the combination of drug therapy and surgical resection of swollen lymph nodes can greatly shorten the course of treatment.

Second, the prognosis of cat scratch disease

The disease is benign and self-limited, and generally can heal itself after 2 ~ 3 months. When there are serious complications, antibacterial drugs combined with surgical treatment can be cured. When immune dysfunction occurs, the prognosis is poor, and severe immune dysfunction may even lead to death. Generally speaking, the mortality rate of this disease is low, about below 1%.