Cat Scratch Disease in Children
What is cat scratch disease in children?
Cat scratch disease is a bacterial infection carried in cat saliva. It is passed from
a cat bite or scratch to a human. It can also result from a fleabite, but cats are
the main source.
What causes cat scratch disease in a child?
Cat scratch disease is caused by the germ Bartonella henselae. The cat or kitten usually
appears healthy. The cat licks its paws then scratches or bites the child. If your
child rubs his or her eyes after petting a cat's fur, this can also spread cat scratch
disease. Young kittens less than 1 year of age are more likely to scratch. The increases
the risk for infection.
What are the symptoms of cat scratch disease in a child?
The following are the most common symptoms of cat scratch disease:
- A cat bite or scratch that does not heal or worsens over time
- Painful or swollen lymph glands. These are often under the armpits or on the side
of the neck.
- Flu-like symptoms, including headache, tiredness, decreased appetite, fatigue, joint
pain, or fever
- Body rash
The symptoms of cat scratch disease may not appear for more than a week after the
child is scratched. Sometimes the delay can be as long as 6 weeks. The symptoms may look
like other health conditions. Make sure your child sees his or her healthcare provider
for a diagnosis.
How is cat scratch disease diagnosed in a child?
Your child's healthcare provider will ask whether your child has had exposure to cats
or kittens. He or she will look for a small bump where the cat scratch has occurred.
The provider will check for any swollen lymph nodes. Lab tests are available, but
many tests are not considered reliable.
How is cat scratch disease treated in a child?
Treatment will depend on your child’s symptoms, age, and general health. It will also
depend on how severe the condition is.
Cat scratch disease will usually go away without treatment. But your child may need
to take antibiotic medicine.
What are the complications of cat scratch disease in a child?
Complications are not common. When they happen, they may include problems with the
nervous system, body organs, or eyes.
What can I do to prevent cat scratch disease in my child?
Do not let your child play roughly with cats or kittens. Doing so can increase the
chances of a scratch or bite. If your child does get a cat bite or scratch, wash the
area right away with soap and water.
Cat owners should use products to prevent fleas.
When should I call my child's healthcare provider?
Call your child's healthcare provider if your child develops swollen lymph nodes after
being scratched or bitten by a cat.
Key points about cat scratch disease in children
- Cat scratch disease is a bacterial infection carried in cat saliva.
- Cat scratches and bites can cause cat scratch disease.
- Treatment may include antibiotics.
- It is important to wash the area right away with soap and water if a cat scratches
or bites your child.
Tips to help you get the most from a visit to your child’s healthcare provider:
- Know the reason for the visit and what you want to happen.
- Before your visit, write down questions you want answered.
- At the visit, write down the name of a new diagnosis, and any new medicines, treatments,
or tests. Also write down any new instructions your provider gives you for your child.
- Know why a new medicine or treatment is prescribed and how it will help your child.
Also know what the side effects are.
- Ask if your child’s condition can be treated in other ways.
- Know why a test or procedure is recommended and what the results could mean.
- Know what to expect if your child does not take the medicine or have the test or procedure.
- If your child has a follow-up appointment, write down the date, time, and purpose
for that visit.
- Know how you can contact your child’s provider after office hours. This is important
if your child becomes ill and you have questions or need advice.