Cat scratch fever medical therapy: Difference between revisions
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==Overview== | ==Overview== | ||
Most healthy people will clear the infection without treatment, and antimicrobial therapy is not recommended for immunocompetent patients with mild to moderate ''[[Bartonella henselae]]'' disease due to the risk of side-effects from antibiotics. | Most healthy people will clear the infection without treatment, and antimicrobial therapy is not recommended for immunocompetent patients with mild to moderate ''[[Bartonella henselae]]'' disease due to the risk of side-effects from antibiotics. [[Azithromycin]], [[ciprofloxacin]], [[doxycycline]], and multiple other antibiotics have been used but with unclear benefit.<ref>{{cite journal|last=Rolain|first=J.M.|title=Recommendations for Treatment of Human Infections Caused by Bartonella Species|journal=Antimicrobial Agents and chemotherapy|year=2004|month=June|pages=1921–1933|pmid=15155180|doi=10.1128/AAC.48.6.1921-1933.2004|pmc=415619|volume=48|issue=6}}</ref> | ||
[[Azithromycin]] is preferentially used in pregnancy to avoid the side-effects of doxycycline. | [[Azithromycin]] is preferentially used in pregnancy to avoid the side-effects of doxycycline. | ||
*For the extensive adenopathy [[Azithromycin]] 500 mg single dose is given.<ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref> | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 17:33, 9 July 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]
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Overview
Most healthy people will clear the infection without treatment, and antimicrobial therapy is not recommended for immunocompetent patients with mild to moderate Bartonella henselae disease due to the risk of side-effects from antibiotics. Azithromycin, ciprofloxacin, doxycycline, and multiple other antibiotics have been used but with unclear benefit.[1]
Azithromycin is preferentially used in pregnancy to avoid the side-effects of doxycycline.
- For the extensive adenopathy Azithromycin 500 mg single dose is given.[2]
References
- ↑ Rolain, J.M. (2004). "Recommendations for Treatment of Human Infections Caused by Bartonella Species". Antimicrobial Agents and chemotherapy. 48 (6): 1921–1933. doi:10.1128/AAC.48.6.1921-1933.2004. PMC 415619. PMID 15155180. Unknown parameter
|month=ignored (help) - ↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.