Monday 16 May 2016

Treatment Dilemma: Catch Scratch versus Cat Bite

Came across this on one of the USMLE Forums:

No treatment needed for mild or moderate disease except for symptomatic relief through antipyretics or analgesics. In severe or disseminated disease or in patients known to have immune suppression go for Azithromycin for 5 days. The causative agent, Bartonella, is resistant to penicillins, including coamoxiclav. In cat bites, however, the insult is polymicrobial, primarily Pasturella multocida, a host of different Streptococci and Staphylococcus aureus, hence the first line choice is Coamoxiclav with Clindamycin and Ciprofloxacin if known resistance exists or if the patient is allergic to penicillins.

Image Credits: SCIELO


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