The lesions itched like chigger bites for months. I applied Benadryl creme, hydocortisone, permethrin, ivermectin, pyrantel, and took albendazole. just vague improvement but the itching and lesions persisted
Now four days of Rifampin and Bactrim and 20 % salicylic acid, and the lesions are quickly healing.
Are you kidding me? Bartonella is a known persistent bacteria that favors the skin, and Bartonella has a well known known treatment with a 50 year old TB drug-RIFAMPIN, and a 50-year-old urinary-tract sulfa drug - Bactrim.
Telling people to wait and not use antibiotics, is like living with carbon monoxide and telling the home owner that it might not harm you but if it does we should fix the leak.
The human test is usually a PCR test or and ELISA test with a titer higher than 1:256 IgG
Cat-scratch fever (excerpts)
STEPHEN A. KLOTZ, MD; VOICHITA IANAS, MD; and SEAN P. ELLIOTT, MD, University of Arizona, Tucson, Arizona
Am Fam Physician. 2011 Jan 15;83(2):152-155.
Cat-scratch disease is a common infection that usually presents as tender lymphadenopathy.
Asymptomatic, bacteremic cats with Bartonella henselae in their saliva serve as vectors by biting and clawing the skin.
The causative microorganism, B. henselae, is difficult to culture.
Diagnosis is most often arrived at by obtaining a serologic test with high titers (greater than 1:256) of immunoglobulin G antibody to B. henselae.
Most cases of cat-scratch disease are self-limited and do not require antibiotic treatment.
If an antibiotic is chosen, azithromycin has been shown in one small study to speed recovery. Infrequently, cat-scratch disease may present in a more disseminated form with hepatosplenomegaly or meningoencephalitis, or with bacillary angiomatosis in patients with AIDS.
Approximately 50 percent of cats harbor B. henselae and are entirely asymptomatic.3
First 3 images are from Google Search, the last two image are my arms after 4 months of doctoring, and finally healing dramatically after 4 days of Rifampin and Bactrim.