Computed Tomography and Magnetic Resonance Imaging of Uncomplicated Cat-Scratch Disease with Regional Lymphadenitis

貓抓病之電腦斷層及磁振造影的影像學表徵

陳旭漪(Hsu-Yi Chen) ； 陳良光(Liang-Kuang Chen) ； 蘇誠道(Cheng-Tau Su)

《中華放射線醫學雜誌》 31卷1期 (2006/02) Pp. 39-45

摘要

貓抓病是好發生在小孩及年輕人的良性淋巴結病變。在不知有被貓抓或咬到的病例個案，臨床上可能不會想到這個診斷，以至於要靠侵襲性的方法，例如外科手術，才能正確診斷。近來文獻特別強調此病之影像學表徵，期能提升醫界認出此病及以非侵襲性的方法作出診斷。吾等報告五個病例個案，其臨床表現為具疼痛感的腫塊，此篇報告特別強調電腦斷層及磁振造影其影像學表徵及影像上的鑑別診斷。

關鍵字

貓抓病 ； 淋巴系統，感染 ； 電腦斷層 ； 磁振造影

並列摘要

Cat-scratch disease is a benign lymphadenopathy that usually occurs in children and young adults. It is probably underdiagnosed clinically due to lack of history of being scratched or bitten by a cat or kitten. Awareness of the radiological features of cat-scratch disease may facilitate noninvasive diagnosis of this condition. We report five cases of cat-scratch disease with tender palpable masses. Cross-sectional imaging with computed tomography (CT) (n=4) and magnetic resonance (MR) imaging (n=1) showed a mass or clustered nodules with surrounding edema in an area of lymphatic drainage. We discuss the clinical manifestations, radiological features and differential diagnosis based on imaging study.

並列關鍵字

Cat-scratch disease ； lymphatic system, infection ； computed tomography CT ； Magnetic Resonce MR