| JAPANESE JOURNAL OF ORAL & MAXILLOFACIAL SURGERY | |
| Vol. 54 No. 11 2008 | |
| ISSN: 0021-5163 UBIC: 151-J | |
| ABSTRACT | |
| Cat scratch disease (CSD) is a self-limiting infectious disease characterized by lymphadenopathy in a patient with a history of cat contact.
CSD is caused by Bartonella henselae infection and is a common cause of regional lymphadenopathy. The manifestations include erythema or papules at the site of injury
and regional lymphadenitis in the initial stage of infection. We report the case of an 11-year-old girl who presented with swelling of the parotid and cervical lymph
nodes. Magnetic resonance imaging showed extensive lymphadenopathy in the parotid and cervical lymph nodes. She had a history of contact with kittens. Serologic examinations
for IgG and IgM titers to Bartonella henselae were performed by an indirect fluorescence assay. This assay revealed positive serum antibody titers for Bartonella henselae.
On the basis of these results, CSD was diagnosed, and the patient was given an antibiotic (erythromycin 800 mg/day) for 14 days. After that, the patient recovered, with no recurrence.
Keywords: cat scratch disease, Bartonella henselae, immunological fluorescence antibody test. |
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