[Mediastinal form of cat-scratch disease].
The authors reported a case of Cat--Scratch Disease (CSD) in a 14-year-old boy; it was an unusual CSD by its mediastinal mass location. Histopathological lesions which appeared as pseudo-tubercular folliculi mislead us. Disease was finally diagnosed by biological exams: a strongly positive Hanger-Rose reaction and serological assays used for the diagnosis of psittacosis, ornithosis, lymphagranuloma venereum and trachoma. CSD is a common cause of chronic lymphadenopathy in children. In the majority of patients, CSD is a mild illness. Some unusual forms as Parinaud's oculoglandular syndrome, neurological lesions, osteomyelitis and exceptionaly mediastinal lymphadenopathy have been reported. 2 cases of the latest ones were already described.
Raobijaona
H
H
Service de Pédiatrie Debré, Hôpital général de Befelatanana, Centre Hospitalier Universitaire d'Antananarivo, BP 14 bis, 101 Antananarivo, Madagascar.
François
P
P
Durand
C
C
Beaudoing
A
A
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001799:Blood Sedimentation; D002372:Cat-Scratch Disease / Q000097:blood / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D003168:Complement Fixation Tests; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000627:therapeutic use; D005455:Fluorescent Antibody Technique; D006801:Humans; D008197:Lymph Node Excision; D008199:Lymphadenitis / Q000382:microbiology*; D008297:Male; D008480:Mediastinitis / Q000382:microbiology*; D012703:Serotyping
D000900:Anti-Bacterial Agents; D004318:Doxycycline