Ben Slama L, Hasni W, Royer B
Cabinet de stomatologie et chirurgie maxillofaciale, 69, rue de la Tour, 75116 Paris, France.
Rev Stomatol Chir Maxillofac. 2008 Jun;109(3):183-6. doi: 10.1016/j.stomax.2008.03.006. Epub 2008 Jun 3.
Cat scratch disease is an infection due to Bartonella henselae. It is one of the principal causes of benign chronic adenopathy in children or young adults.
A 36-year-old woman presented with a left parotid pre-auricular swelling suggesting a pleiomorphic adenoma. The history and complementary tests (ultra sonography, MRI, cytopuncture, B. henselae serology) led to a diagnosis of cat scratch disease. Doxycilline was efficient within 15 days.
The parotid localization of cat scratch disease is very rare. When a patient presents with parotid swelling, the distinction between a tumor and lymph node is not easy. Performing complementary tests can be in balance with a quicker but sometimes inappropriate surgical indication. The diagnosis is made even more difficult because of delayed specific serologic tests as for B. henselae.
猫抓病是由汉赛巴尔通体引起的一种感染。它是儿童或年轻人良性慢性腺病的主要病因之一。
一名36岁女性出现左耳前腮腺肿胀，提示多形性腺瘤。病史及辅助检查（超声、磁共振成像、细胞穿刺、汉赛巴尔通体血清学检查）诊断为猫抓病。强力霉素治疗15天内有效。
猫抓病累及腮腺非常罕见。当患者出现腮腺肿胀时，区分肿瘤和淋巴结并不容易。进行辅助检查可能与更快速但有时不恰当的手术指征相权衡。由于汉赛巴尔通体特异性血清学检查结果延迟，诊断变得更加困难。
