Role of Cat‐Scratch Disease in Lymphadenopathy in the Head and Neck
Open Access
- 15 September 2002
- journal article
- Published by Oxford University Press (OUP) in Clinical Infectious Diseases
- Vol. 35 (6), 643-649
- https://doi.org/10.1086/342058
Abstract
Bartonella henselae is the causative agent of cat-scratch disease (CSD), which usually manifests as acute regional lymphadenopathy. The causes of cervical lymphadenopathy, with special regard to CSD, were investigated in a study of 454 patients who presented with unclear masses in the head and neck from January 1997 through January 2001. Sixty-one patients (13.4%) experienced CSD; 54 (11.9%) had primary lymphadenopathy due to other infectious agents, and 41 (9.0%) had lymphadenopathy that occurred in association with primary infections of other organs. For 171 patients (37.7%), the cause of the cervical lymph node enlargement could not be found. B. henselae DNA was detected in extirpated lymph nodes only during the first 6 weeks of lymphadenopathy, which indicates that the results of polymerase chain reaction strongly depend on the duration of illness. CSD should be included in the differential diagnosis of adenopathy in the otorhinolaryngologic patient population, to avoid unnecessary treatment.Keywords
This publication has 23 references indexed in Scilit:
- SUBACUTE ORBITAL ABSCESS IN A FOUR-YEAR-OLD GIRL WITH A NEW KITTENThe Pediatric Infectious Disease Journal, 1998
- A farmer with a lump in his throatThe Lancet, 1998
- Bartonella henselae neuroretinitis in cat scratch disease: Diagnosis, management, and sequelae1,2Ophthalmology, 1998
- Molecular Epidemiology of Bartonella Infections in Patients with Bacillary Angiomatosis–PeliosisThe New England Journal of Medicine, 1997
- Paronychia caused by Bartonella henselaeThe Lancet, 1997
- COMPARISON OF ORAL CEPHALEXIN, TOPICAL MUPIROCIN AND TOPICAL BACITRACIN FOR TREATMENT OF IMPETIGOThe Pediatric Infectious Disease Journal, 1997
- Bartonella spp. as emerging human pathogensClinical Microbiology Reviews, 1997
- Serological response to "Rochalimaea henselae" antigen in suspected cat-scratch diseaseThe Lancet, 1992
- Antibiotic therapy for cat-scratch diseaseThe Pediatric Infectious Disease Journal, 1992
- Cat-scratch DiseaseAmerican Journal of Diseases of Children, 1985