The treatment of choice is penicillin G. P Salmonellosis. About 3% of U.S. households have reptiles, most commonly lizards, snakes, and turtles. Tortoises are chronic, intermittent shedders of Salmonella, and the Centers for Disease Control and Prevention estimates that more than 70,000 reptile-associated U.S. cases of salmonellosis occur each year, Dr. Lieberman said. Reptiles should be kept out of child care centers and households in which children are younger than 5 years or immunocompromised people live, he noted.
Dr. Lieberman disclosed that he is a consultant and a member of the speakers' bureaus for GlaxoSmithKline, Sanofi Pasteur, and Merck & Co.
Cat-scratch disease can be transmitted to humans by kittens, older cats, and sometimes dogs. DR. LIEBERMAN
Lymphadenopathy usually involves the nodes that drain the site of inoculation. Fever occurs in half of patients. Courtesy Dr. Sherif Emil