Cat-Scratch Disease - A Case Report and Review of the Literature

貓抓病－病例報告及文獻回顧

張懷仁(Huai-Ren Chang) ； 許永祥(Yung-Hsiang Hsu) ； 王立信(Lih-Shinn Wang)

《慈濟醫學雜誌》 15卷5期 (2003/10) Pp. 341-345

https://doi.org/10.6440/TZUCMJ.200310.0341

摘要

貓抓病是種良性、自限性的疾病，主要特微是會造成麔痛性的局部淋巴腺病變。有時候它會表現出全身性的症狀同時會持續很長一段時間。花蓮地區每年夏季均會遇到不少疑似貓抓病的個案，主要是以小兒科的病人為主。唯以往都僅以病史和臨床症狀為診斷之依據，往往欠缺有力的病理切片或其他相關佐證。在本病例報告中，我們報告一位之前健康健康的男孩，表現出局部的麔痛性淋巴腺病變，有明顯的與貓接觸病史，而且經詳細理學檢查並無其他導致淋巴腺病變的原因。病人的淋巴結病理組織切片報告顯示與貓抓病的特徵吻合。病人對於ciprofloxacin治療反應良好，持續的追蹤也沒有復發的跡象。這是一個以ciprofloxacin治療成功的東台灣典型貓抓病病例報告。

關鍵字

貓抓病 ； 淋巴腺病變 ； 組織病理學檢查 ； ciprofloxacin

並列摘要

Cat-scratch disease (CSD) is usually a benign, self-limited disease that causes that causes painful regional lymphadenopathy. Occasionally, it may present with systemic symptoms and have a prolonged course. In Hualien, several cases of suspectable CSD are usually reported in summer, especially in pediatric outpatient departments. Previously, the diagnosis of CSD has been mainly based on the histories and clinical symptoms, and strong evidence related to the histopathologic examination has been rarely provided. In this article, a case of one patient, a previously healthy boy , is described with regional painful lymphadenopathy and a significant cat-exposuer history. He received extentsive examinations and no other causes of lymphadenopathy were revealed. The result of the histopathologic examination of the involved lymph node was consistent with CSD. The patient responded promptly to ciprofloxacin treatment, and had no evidence of relapse during extensive follow-up. This is a typical CSD case report of successful treatment using ciprofloxacin in eastern Taiwan.

並列關鍵字

cat-scratch disease ； lymphadenopathy ； histopathologic examination ； ciprofloxacin