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A Previously Healthy 5-Year-Old Female Presents with Swollen Axillary Lymph

Question 15

Multiple Choice

A previously healthy 5-year-old female presents with swollen axillary lymph nodes and fever. The physician notes multiple scratches and papules on her hands and arms. The mother reveals they had adopted a new kitten about two weeks ago, and it had scratched the child numerous times. She said she cleaned and treated the scratches with hydrogen peroxide immediately after each occurrence. Using the information provided, this infectious disease state requires


A) No antibiotic therapy because the infection will resolve on its own
B) Confirmation using a biopsy and culture of the lymph nodes is required
C) Antibiotic therapy for adequate treatment
D) A culture of the kitten to determine the specific infective organism

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