Szymański Marcin, Siwiec Henryk, Gołabek Wiesław
Kliniki Otolaryngologii i Onkologii Laryngologicznej Akademii Medycznej w Lublinie.
Wiad Lek. 2004;57(11-12):704-6.
Cat-scratch disease is a mild disease associated with regional lymph node enlargement. We present a case of cat-scratch disease of the parotid gland in 10-year-old girl. She presented with painful parotid mass, after unsuccessful treatment with antibiotics. Computed tomography showed tumour like lesions in parotid gland. Subtotal parotidectomy with facial nerve preservation was performed as neoplastic disease was suspected. Histopathology examination of the sample revealed typical changes for cat-scratch disease. History of continuous contacts with cats was confirmed by the parents. Cat-scratch disease should be taken into account in differential diagnosis of parotid masses, especially in children.
猫抓病是一种与局部淋巴结肿大相关的轻症疾病。我们报告一例10岁女孩腮腺猫抓病的病例。她因腮腺肿物疼痛就诊,抗生素治疗无效。计算机断层扫描显示腮腺有肿瘤样病变。由于怀疑是肿瘤性疾病,遂行保留面神经的腮腺次全切除术。样本的组织病理学检查显示了猫抓病的典型变化。家长证实患儿有与猫持续接触史。在腮腺肿物的鉴别诊断中,尤其是儿童患者,应考虑猫抓病。