van der Veer-Meerkerk M, van Zaanen H C T
Department of Internal Medicine, Sint Franciscus Gasthuis, Rotterdam, the Netherlands.
Neth J Med. 2008 Apr;66(4):160-2.
We report a case of an adult, immunocompetent male with lymphadenopathy of both groins, para-aortal lymph nodes and multiple lesions in the spleen. A neoplasm was excluded by histology of the largest lymph node from the left groin. The diagnosis of cat-scratch disease (CSD ) became apparent when serological testing for Bartonella henselae showed to be positive. A review of literature shows that disseminated (visceral) infection is a rare presentation of CSD.
我们报告一例成年免疫功能正常男性病例,其双侧腹股沟、腹主动脉旁淋巴结肿大,脾脏有多处病变。通过对左侧腹股沟最大淋巴结进行组织学检查排除了肿瘤。当针对汉赛巴尔通体的血清学检测呈阳性时,猫抓病(CSD)的诊断变得明确。文献回顾显示,播散性(内脏)感染是CSD的一种罕见表现。