Abstract
Cat-scratch disease (CSD), a bacterial infection caused by Bartonella henselae, has emerged as a relatively common and occasionally serious zoonotic disease among children and adults. To illustrate the spectrum of clinical manifestations of CSD observed during a 1-year period, Texas Children's Hospital (TCH) in Houston reviewed the medical records of 32 children evaluated at TCH during September 2000-August 2001 whose antibody titers indicated recent Bartonella infection. This report summarizes the evaluations of these cases and highlights four manifestations of infection with this pathogen in children. The findings emphasize that although CSD is generally a mild, self-limited illness, the differential diagnosis often includes more serious conditions (e.g., lymphoma, carcinoma, mycobacterial or fungal infection, or neuroblastoma) that might result in protracted hospital stays and lengthy treatments before diagnosis. Timely assessment of CSD is important, particularly when invasive diagnostic measures are being considered.
Highlights
ON JUNE 5, 2001, TROPICAL STORM ALLIson made landfall on Galveston Island, Texas
This report summarizes assessment results, which identified increased illness in persons living in flooded homes, suggesting a need for rapid resolution of flood-related damage and the possibility that residents should seek temporary housing during clean-up and repair
Public health impacts of flooding include damage to homes and consequent displacement of occupants, infectious disease morbidity exacerbated by crowded living conditions and compromised personal hygiene, contamination of water sources, disruption of sewage service and solid-waste collection, increased vector populations, injuries sustained during clean-up, stress-related mental health and substance-abuse problems, and death.[5,6,7]
Summary
ON JUNE 5, 2001, TROPICAL STORM ALLIson made landfall on Galveston Island, Texas. During the 2 days, the system soaked much of southeast Texas and south-central Louisiana with more than 10 inches of rain as it moved slowly northward. CDC Editorial Note: Flooding is the most common type of natural disaster worldwide, and flash flooding, often associated with the heavy, localized rainfall that occurs in a tropical storm, is the leading cause of weather-related deaths in the United States.[4] Public health impacts of flooding include damage to homes and consequent displacement of occupants, infectious disease morbidity exacerbated by crowded living conditions and compromised personal hygiene, contamination of water sources, disruption of sewage service and solid-waste collection, increased vector populations, injuries sustained during clean-up, stress-related mental health and substance-abuse problems, and death.[5,6,7].
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