Division of Surgical Oncology, Department of Surgery, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia.
Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia.
Med Arch. 2022 Dec;76(6):480-483. doi: 10.5455/medarh.2022.76.480-483.
Cat scratch disease (CSD) is an infectious disease caused by a cat's scratch, hard enough to break the skin's surface. Clinical manifestations include inflammatory lymphadenopathy and papular lesions at the site of the injury. However, it may be mistaken for a neoplasm-related process e.g., lymphoma due to its similar clinical presentation.
To report a CSD case in an Indonesian male presenting with mass-like symptoms in the oncologic ward of our center.
A 24-year-old male presented with painful and swelling masses in the right upper arm and right armpit for the last 4 months, enlarged progressively, and feverish for two days. Our initial differential diagnosis was lymphoma by history and routine physical examination, however. The patient reported a history of sleeping with his cat and recently experiencing a cat bite. We conducted the ultrasonography and lymph node biopsy to establish the final diagnosis and it was revealed to be related to CSD. The patient was treated with lymphadenectomy and azithromycin 500 mg bd for 7 days. The patient was completely treated with no additional complaints after two weeks of follow-up.
The differential diagnosis for CSD is relatively broad, including active infection, an ongoing inflammatory process, or a metastatic process; hence, thorough diagnostic approaches should be made in approaching CSD cases to avoid the pitfall or mistreatment in advance.
猫抓病（CSD）是一种由猫抓引起的传染病，抓力足以划破皮肤表面。临床表现包括炎症性淋巴结病和损伤部位的丘疹病变。然而，由于其相似的临床表现，它可能被误诊为与肿瘤相关的过程，例如淋巴瘤。
报告一例在我们中心肿瘤科病房出现肿块样症状的印度尼西亚男性 CSD 病例。
一名 24 岁男性因右上臂和右腋窝疼痛性肿胀肿块就诊，持续 4 个月，逐渐增大，并发热两天。根据病史和常规体格检查，我们最初的鉴别诊断为淋巴瘤，但患者报告说有与猫一起睡觉的病史，并最近经历了猫咬伤。我们进行了超声检查和淋巴结活检以确定最终诊断，结果显示与 CSD 相关。患者接受了淋巴结切除术和阿奇霉素 500mg bid 治疗 7 天。经过两周的随访，患者完全治愈，无其他不适。
CSD 的鉴别诊断较为广泛，包括活动性感染、持续的炎症过程或转移性过程；因此，在处理 CSD 病例时应进行彻底的诊断方法，以避免事先出现陷阱或治疗不当。
