The clinical analysis of cat scratch diseases with enlarged masses.
- Author:
Fenli XING
1
;
Zhiwei GAO
;
Hui TANG
;
Yuanqing WU
;
Li LI
;
Xinghua LUO
;
Hong FAN
Author Information
1. Department of Otorhinolaryngology, Nanjing First Hospital, Affiliated to Nanjing Medical University, Nanjing, 210006, China.
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Aged;
Cat-Scratch Disease;
diagnosis;
Female;
Humans;
Lymphatic Diseases;
diagnosis;
Male;
Middle Aged;
Retrospective Studies;
Young Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2008;22(18):831-833
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:In order to raise awareness of CSD and reduce misdiagnosis, we study the manisfection and treatment of CSD with enlarged masses.
METHOD:A retrospective study was carried out among the 10 identified patients with CSD on the basis of compatible clinical presentation and confirmatory pathology results for CSD.
RESULT:All the 10 patient's first symptoms were masses at some part of the body, more common in the neck. The ratio was 5% at neck, 3% at armpit, 1% at upper, 1% at groin. Two patients had low heat, increased leukocyte and larger masses of more than 2 cm in diameter After surgical resection, and anti-inflammatory treatment. All the patients were cured after surgery and postoperative anti-inflammatory treatment, and there was no recurrence during the 7-year follow-up.
CONCLUSION:If patients were diagnosed and treated timely, the prognosis will be good. For the cases with extremely enlarged lymphonodus, surgical operation followed by antimicrobial chemotherapy will be a effective treatment.
