Cat Scratch Disease Involving the Superficial Parotid Node: Report of a Case.

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  • 浅耳下腺リンパ節炎を伴った猫ひっかき病の1例

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Description

Cat scratch disease (CSD) is an infectious disease that is characterized by tender regional chronic lymphadenopathy following a cat scratch or contact distal to the involved lymph node. The neck is the second most common location, with a distribution of over 26%. However, parotid node involvement occurs in only 6-8%. We describe an unusual case of parotid lymphadenopathy in this article. A 14-year-old-girl presented with a complaint of preauricular swelling persisting for a month. On CT and US, suppurative lymphadenitis was suspected between the masseter muscle and the parotid gland. US-guided fine needle aspiration biopsy revealed a small amount of pus. We speculate that this patient's disease may be CSD, based on previous clinical reports of CSD with Parinaud oculoglandular syndrome representing the preauricular lymphadenopathy. Thereafter, re-anamnesis and serological study confirmed CSD. The final diagnosis was a suppurative superficial parotid lymphadenitis due to CSD. In some patients showing involvement of the preauricular region, CSD should also be considered.

Journal

  • Shika Hoshasen

    Shika Hoshasen 42 (2), 121-127, 2002

    Japanese Society for Oral and Maxillofacial Radiology

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