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Correspondence
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Volume 340:1842-1843 June 10, 1999 Number 23
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Treatment of Cat Scratch Disease

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 by Giladi, M.
To the Editor: In their Image in Clinical Medicine, Giladi and Avidor (Jan. 14 issue)1 describe a 17-year-old boy who was treated with 14 days of oral ciprofloxacin for an infection with Bartonella henselae after being scratched on the neck by a cat. Unfortunately, they do not address the controversy regarding the use of quinolones in patients under the age of 18 years.

Clinicians should be aware that the manufacturer of ciprofloxacin states that the drug should not be used in children or adolescents. Arthropathy has been observed in the weight-bearing joints of immature laboratory animals, and a transient arthropathy . . . [Full Text of this Article]

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