右側顎下部に腫脹をきたしたネコひっかき病の1例

概要

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We present a case of cat scratch disease. The patient was a 72-year-old male. He received a scratch from his cat at the right submandibular region.<BR>About three days later, he noticed several eruptions at the same site and then a painless tumor mass began to develop. The sialogram of the right submandibular gland showed no abnormality. The mass was surgically removed.<BR>Histopathologically, there were focal granulomatous lesions with suppuration and necrosis in the submandibular lymph node. The necrosis was surrounded by a layer of epithelioid cells. The lesion involved the adjacent tissues, that is, the adipose tissue, the muscle tissue and the salivary gland. Microbiologically, acid-fast bacilli or other organisms were not seen by Ziehl-Neelsen, PAS, Brown-Hopps and Warthin-Starry stains.<BR>The diagnosis of cat scratch disease was made on the basis on the clinical and histopathological features.