A previously healthy 10-year-old boy presented with progressive left posterior cervical lymphadenitis following recent COVID-19 infection and kitten exposure. Despite oral cefdinir, he developed persistent fever and enlarging lymph nodes. Imaging showed suppurative/partially necrotic adenitis without drainable collection. Hospital therapy with IV ampicillin–sulbactam and azithromycin led to clinical improvement. Serology later returned with high Bartonella henselae titters, consistent with cat-scratch disease (CSD). He was discharged on oral antibiotics with infectious diseases follow-up and completed a 10-day azithromycin course.
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- Manuel Medina Suárez (Autor), Pablo Arango (Autor), Amanda Menéndez (Autor), Manuel Javier Medina Rodriguez (Autor), Helen Aguila (Autor), 2025, Cat scratch disease and suppurative cervical lymphadenopathy, Múnich, GRIN Verlag, https://www.grin.com/document/1618295
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