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一名患有弓形虫病导致颏下淋巴结病的患者。

A Patient With Toxoplasmosis as a Cause of Submental Lymphadenopathy.

作者信息

Sireci Federico, Bruno Rocco, Martines Francesco, Freni Francesco, Cicciù Marco, Galletti Francesco

机构信息

ENT Section, ARNAS Fatebenefratelli Hospital, Palermo.

Department of Adult and Development Age Human Pathology "Gaetano Barresi", unit of Otorhinolaryngology, University of Messina, Messina.

出版信息

J Craniofac Surg. 2019 Jun;30(4):e353-e355. doi: 10.1097/SCS.0000000000005441.

Abstract

Submental mass secondary to toxoplasmosis is a rare condition and physicians rarely consider its diagnosis. The presented case reports a 43-year-old woman referred with a constant, painless, edema located in the submental area for 2 weeks. Diagnosis of toxoplasmosis was established by the positive serological finding after an accurate medical history of the infectious disease specialist (the patient had eaten raw meat). The patient underwent antimicrobial therapy with resolution of lymphadenopathy. According to review of literature, the article aims to remind clinicians, maxillofacial surgeons, and otolaryngologists that a neck mass can be related to the infectious cause with involving of lymph node like as toxoplasmosis. Therefore, a serological diagnosis should be considered before moving to needle biopsy or excisional biopsy of neck mass.

摘要

弓形虫病继发颏下肿块是一种罕见病症,医生很少会考虑其诊断。本文报告的病例是一名43岁女性,因颏下区域持续无痛性水肿两周前来就诊。在传染病专科医生详细询问传染病病史(患者曾食用生肉)后,通过血清学检查呈阳性确诊为弓形虫病。患者接受了抗菌治疗,淋巴结病得以缓解。根据文献回顾,本文旨在提醒临床医生、颌面外科医生和耳鼻喉科医生,颈部肿块可能与感染性病因有关,如弓形虫病累及淋巴结。因此,在对颈部肿块进行针吸活检或切除活检之前,应考虑进行血清学诊断。

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