B-mode sonographic criteria for differential diagnosis of cervicofacial lymphadenopathy in cat-scratch disease and toxoplasmosis.
BACKGROUND
Our purpose was to evaluate different sonographic parameters of cervicofacial lymphadenopathy caused by cat-scratch disease (CSD) and toxoplasmosis.


METHODS
By use of high-resolution B-mode sonography a total of 552 lymph nodes in the head and neck were detected between January 1997 and December 2001. There were 71 patients (422 lymph nodes) with CSD and 19 patients (130 lymph nodes) with toxoplasmosis. Sonographic variables, including 20 sonomorphologic features along with age and gender, were analyzed with multivariate logistic regression.


RESULTS
Heterogenous lymph nodes were more often found in CSD (p =.003), and nonsharp nodal borders showed a significant association with CSD (p =.0005). Multivariate analysis identified sharpness of borders (p =.0001), S/L ratio (p =.0006), and type of lymphadenopathy (acute, abscessed, chronic) (p =.0006) as most significant for differentiating between CSD and toxoplasmosis.


CONCLUSIONS
These results provide significant and useful criteria for ultrasonographic differentiation between CSD and toxoplasmosis.
Ridder
Gerd Jürgen
GJ
Department of Otorhinolaryngology-Head and Neck Surgery, University of Freiburg, Killianstrasse 5, D-79106 Freiburg, Germany. ridder@hno.ukl.uni-freiburg.de
Boedeker
Carsten Christof
CC
Lee
Tao-Kwang Kevin
TK
Sander
Anna
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002372:Cat-Scratch Disease / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging*; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006258:Head and Neck Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000209:etiology*; D006801:Humans; D008206:Lymphatic Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D014123:Toxoplasmosis / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging*; D014463:Ultrasonography