UNCOMPLICATED CAT-SCRATCH DISEASE - FINDINGS AT CT, MR-IMAGING, AND RADIOGRAPHY
UNCOMPLICATED CAT-SCRATCH DISEASE - FINDINGS AT CT, MR-IMAGING, AND RADIOGRAPHY
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DOI：
10.1148/radiology.195.3.7754017
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发表时间：
1995-06-01
期刊：
影响因子：
19.7
通讯作者：
ECKARDT, JJ
中科院分区：
文献类型：
--
作者：
DONG, PR;SEEGER, LL;ECKARDT, JJ
目得：描述猫抓病（CSD）的流行病学，临床和影像学特征，以促进及时识别和非侵入性diagnosis of this conditions.MATERIALS和METHODS：八个其他健康的宠物猫患者的亚急性发作的epitrophyar，腋窝，或腹股沟肿块。所有患者均接受了计算机断层扫描（CT）（n = 1）或磁共振（MR）成像（n = 7）的横断面成像。5例患者进行了X线手肘。结果：在所有患者中，MR成像和CT显示一个边界不清的软组织肿块周围广泛水肿的传出淋巴分布。影像学检查显示，只有软组织水肿的两名患者和一个边界不清的软组织肿块与软组织水肿的三名患者。6例患者进行了活检，所有病理标本的结果支持CSD的诊断。无患者接受血清学评价。所有患者在4周内开始抗生素therapy.CONCLUSION：CSD应考虑在所有患者上肢或头颈部腺病和猫接触史。虽然通常不需要诊断，横断面成像将揭示一个肿块周围水肿的区域淋巴引流。
PURPOSE: To describe the epidemiologic, clinical, and imaging features of cat-scratch disease (CSD) to facilitate prompt recognition and noninvasive diagnosis of this condition.MATERIALS AND METHODS: Eight otherwise healthy patients with pet cats presented with the subacute onset of epitrochlear, axillary, or groin masses. All underwent cross-sectional imaging with computed tomography (CT) (n = 1) or magnetic resonance (MR) imaging (n = 7). Five patients underwent radiography of the elbow.RESULTS: In all patients, MR imaging and CT showed a poorly defined soft-tissue mass with extensive surrounding edema in an efferent lymphatic distribution. Radiography revealed only soft-tissue edema in two patients and an ill-defined soft-tissue mass with soft-tissue edema in three patients. Six patients underwent biopsy; the findings of all pathologic specimens supported the diagnosis of CSD. No patients underwent serologic evaluation. All patients were asymptomatic within 4 weeks of beginning antibiotic therapy.CONCLUSION: CSD should be considered in all patients with upper extremity or head and neck adenopathy and a history of cat exposure. Although generally not required for diagnosis, cross-sectional imaging will reveal a mass with surrounding edema in an area of lymphatic drainage.