A Case of Subacute Necrotizing Lymphadenitis of Cervical Lymph Nodes Probably Caused by a Vector.

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A case of subacute necrotizing lymphadenitis arising in the left-side of the neck in a 29-year-old female is presented.<BR>The patient was referred to our hospital with a 7-week history of slight fever and multiple swellings on the left-side of the neck. A physical examination revealed multiple, mobile, lymph nodes 0.5-2.5 cm in size in the left cervical region. A CT scan and ultrasonic examination also revealed swollen lymph nodes. Treatment with antibiotics was ineffective. Excisional biopsy of one of the cervical lymph nodes was performed for the diagnosis of the disease. WBC, ESR and chest X-ray were normal, but the anti-EBV titer was abnormal.<BR>This patient bred cats and had been bitten by mites or fleas on her legs before she developed this disease. Thus it was thought that this disease may have been mediated by a vector.
特定非営利活動法人日本口腔科学会の論文