Cat-scratch disease simulating a malignant process of the chest wall
| Autor: | P Levillain, A Zelinsky, F Guilhot, D Barret, M Paccalin, E Thomas, F Millot, L Tailboux |
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| Rok vydání: | 1999 |
| Předmět: |
Male
Pathology medicine.medical_specialty Biopsy Diagnosis Differential Lesion Humans Medicine Serologic Tests Child Splenic Diseases Thoracic Neoplasm Granuloma medicine.diagnostic_test Bartonellosis business.industry Liver Diseases Cat-Scratch Disease Cat-scratch disease Thoracic Neoplasms medicine.disease Pediatrics Perinatology and Child Health Splenic disease Differential diagnosis medicine.symptom Bartonella business |
| Zdroj: | European Journal of Pediatrics. 158:403-405 |
| ISSN: | 1432-1076 0340-6199 |
| DOI: | 10.1007/s004310051101 |
| Popis: | Cat-scratch disease is a well-known cause of regional adenopathy in immunocompetent children. Rarely, patients may present with symptoms simulating a neoplastic disease. The case of a 12-year-old boy with fever, swelling of the chest wall and hepatosplenic nodules is reported. Histological analysis of biopsy specimen obtained from the chest wall lesion and the liver revealed granulomatous reaction without malignant cells. Serological investigations were positive for Bartonella species. The symptoms and the lesions disappeared after oral antibiotic therapy (ciprofloxacin) was started. The patient remained symptom-free 12 months later. Conclusion The present case emphasizes the wide spectrum of clinical manifestations associated with cat-scratch disease which should be investigated as differential diagnosis of manifestations suggesting a neoplastic disease in children. |
| Databáze: | OpenAIRE |
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