[双侧腹股沟淋巴结病与结节性红斑：猫抓病的一种罕见表现]

[Bilateral inguinal lymphadenopathy and erythema nodosum: an uncommon presentation of cat scratch disease].

作者信息

Khoudri I, Frémont G, Flageul B, Brière J, Dubertret L, Viguier M

机构信息

Service de dermatologie, université Paris-VII Denis-Diderot, hôpital Saint-Louis, Assistance publique-Hôpitaux de Paris, 1 avenue Claude-Vellefaux, Paris cedex 10, France.

出版信息

Rev Med Interne. 2011 Mar;32(3):e34-6. doi: 10.1016/j.revmed.2009.11.023. Epub 2010 Jun 19.

DOI:10.1016/j.revmed.2009.11.023

PMID:20646798

Abstract

Cat scratch disease is usually revealed by a proximal lymphadenopathy related to the inoculation site. We report a 22-year-old female who presented with erythema nodosum and bilateral inguinal lymphadenopathy. Serologic test and lymph node PCR detection for Bartonella henselae were negative. Nevertheless, the patient received doxycycline and clinical manifestations rapidly resolved. A follow-up detection of IgM and IgG against Bartonella henselae performed 1 month later was positive. This case report illustrates an original presentation of cat scratch disease and reminds us the lack of sensitivity of laboratory investigations.

摘要

猫抓病通常表现为与接种部位相关的近端淋巴结病。我们报告一名22岁女性，她出现了结节性红斑和双侧腹股沟淋巴结病。针对汉赛巴尔通体的血清学检测和淋巴结PCR检测均为阴性。尽管如此，患者接受了强力霉素治疗，临床表现迅速缓解。1个月后进行的针对汉赛巴尔通体的IgM和IgG的随访检测呈阳性。本病例报告说明了猫抓病的一种原始表现，并提醒我们实验室检查缺乏敏感性。