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OTORINOLARINGOLOGIA

A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery


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Otorinolaringologia 2002 June;52(2):85-90

language: Italian

Cat-scratch in the cervical region. Our experience

Tullio A. 1, Cudazzo S. 2, Corradi D. 3, De Riu G. 1

1 Cattedra di Chirurgia Maxillo-Facciale Università degli Studi di Sassari, Sassari
2 Cattedra di Chirurgia Speciale Odontostomatologica Università degli Studi di Parma, Parma
3 Dipartimento di Patologia e Medicina di Laboratorio Sezione di Anatomia Patologica Università degli Studi ed Ospedale Maggiore di Parma, Parma


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Cat scratch disease is the most common cause of lymphadenopathy in children, once non specific viral and bacterial adenitis have been excluded. The disease is usually transmitted by a cat scrath but, occasionally, other animals have been identified such as rabbits, monkeys and dogs. The causative agent is probably Bartonella Henselae. The symptoms are generally localized and present as a papula evolving in lymphoadenopathy with subsequent colliquative chronic necrosis, but also generalized with aching, fever, fatigue, nausea, splenomegaly. In the three cases treated at the Department of Maxillo-Facial Surgery of Parma, the antibiotics did not appear to be effective and so it has been decided to remove the submandibular lymph nodes (often involved in this pathology). The surgical treatment leads to clinical remission and the histological examination can confirm the clinical diagnosis. It is important to make a differential diagnosis with other cervical lymphadenopathies, particularly of odontogenic origin, since these are frequent in children and their treatment is very different.

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