颌面颈部猫抓病11例误诊分析  

Cat-scratch disease in the maxillofacial and neck region:report of 11 misdiagnosed cases

作　　者：顾倩平[1] 孟箭[1] 孟庆飞[1] 

机构地区：[1]东南大学医学院附属徐州医院口腔科,徐州221009

出　　处：《中国口腔颌面外科杂志》2010年第4期366-369,共4页China Journal of Oral and Maxillofacial Surgery

基　　金：徐州市社会发展科技基金资助项目(XM08C045)~~

摘　　要：目的:对颌面颈部猫抓病(cat-scratch disease,CSD)的临床表现、诊断和治疗进行探讨,以提高猫抓病的诊疗水平。方法:对2002—2009间收治的11例颌面颈部猫抓病的临床资料进行回顾性分析。结果:11例CSD患者误诊腮腺肿瘤2例,下颌下肿块1例,淋巴结炎3例,淋巴结核1例,恶性淋巴瘤2例,颈部肿块1例,颈部转移癌1例;误诊的主要原因为对CSD的临床认识不足,遗漏患者被猫、犬抓咬伤史以及医师习惯思维。结论:猫抓病的诊断较困难,应详细询问猫、犬抓伤病史和豢养史,病变淋巴结切除活检是诊治本病的关键。PURPOSE：To investigate the clinical symptoms,diagnosis and treatment of cat-scratch disease（CSD） in the maxillofacial and neck region.METHODS：The clinical data of 11 CSD cases from 2002 to 2009 were reviewed.RESULTS：Two of them were misdiagnosed as parotid tumors,1 as submandibular mass,3 as lymphadenitis,1 as lymph tuberculosis,2 as lymphoma,1 as neck mass and 1 as cervical metastatic carcinoma.The cause of misdiagnosis was the unfamiliarity with CSD,neglect of contact history with cat and similarity to lymph node diseases.CONCLUSION：The diagnosis for CSD is difficult in clinic.The key points for diagnosis are the record of contacting history with home pets and the histopathological characteristics of local involved lymph nodes.

关 键 词：猫抓病 淋巴结炎 误诊 

分 类 号：R516[医药卫生—内科学]