Leong Ming Hui, Nabillah Mohd Jadi, Rizuana Iqbal Hussain, Asma Abdullah, Kew Thean Yean, Tan Geok Chin
Department of Radiology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia.
Hospital Canselor Tuanku Muhriz, Jalan Yaakob Latif, Bandar Tun Razak, Kuala Lumpur 56000, Malaysia.
Diagnostics (Basel). 2023 Jul 24;13(14):2457. doi: 10.3390/diagnostics13142457.
Cat scratch disease (CSD) is a benign condition caused by the inoculation of Bartonella henselae. The imaging findings are non-specific, and it is difficult to diagnose the disease via imaging. However, imaging studies help exclude other differential diagnoses in diagnostic dilemmas. We encountered a case of a 17-year-old adolescent who presented with painful neck swelling. CT showed multiple bilateral cervical lymphadenopathies with triangular soft tissue mass at the anterior mediastinum likely to be thymic hyperplasia, which is unusual in CSD and was mistaken for a lymphoproliferative disorder. Tissue diagnosis with a thorough clinical history yielded the diagnosis of cat scratch disease, and follow-up imaging showed resolution of the cervical lymphadenopathy and thymic hyperplasia.
猫抓病（CSD）是一种由汉赛巴尔通体接种引起的良性疾病。其影像学表现不具有特异性，通过影像学诊断该病较为困难。然而，影像学检查有助于在诊断困境中排除其他鉴别诊断。我们遇到一例17岁青少年，表现为颈部疼痛性肿胀。CT显示双侧多发颈部淋巴结病，前纵隔有三角形软组织肿块，可能为胸腺增生，这在猫抓病中不常见，曾被误诊为淋巴增殖性疾病。结合详尽的临床病史进行组织诊断，确诊为猫抓病，随访影像学显示颈部淋巴结病和胸腺增生消退。
