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ENT · Head and neck: cat scratch disease
Sample itemA child has a tender enlarged preauricular node 2 weeks after a kitten scratch, with a small papule at the scratch site. Which organism is responsible?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Bartonella henselae
Cat scratch disease is caused by Bartonella henselae and gives regional lymphadenopathy proximal to the inoculation site. It is self-limiting in most patients. Azithromycin is used in severe or disseminated cases.
Option by option
A. Staphylococcus aureus alone
Staphylococcal adenitis is acute and suppurative.
B. Mycobacterium tuberculosis
Tuberculosis is a chronic infection with caseation.
C. Bartonella henselae (correct)
Correct. Bartonella henselae causes cat scratch disease.
D. Francisella tularensis
Tularemia follows rabbit or tick exposure.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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