Advanced Search

Home > Journals > Otorinolaringologia > Past Issues > Otorinolaringologia 2002 June;52(2) > Otorinolaringologia 2002 June;52(2):85-90



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

Indexed/Abstracted in: EMBASE, Scopus

Frequency: Quarterly

ISSN 0026-4938

Online ISSN 1827-188X


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


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

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.

language: Italian


top of page