[Painful soft-tissue swelling of the upper arm].
Cat-scratch disease is an infection by Bartonella henselea and resolves spontaneously. We present a case of untypical Bartonella infection which was misinterpreted by MRI as a soft-tissue sarcoma of the upper arm. The histological findings of an incision biopsy were unspecific, without signs of malignancy. The tumor was excised completely and the final histology, however, showed no evidence of malignant changes. The Bartonella henselae infection could be confirmed by polymerase chain reaction. The untypical presentation of cat-scratch disease should be considered in the differential diagnosis of clinically suspected soft tissue sarcoma.
Eichhorn-Sens
J
J
Plastische Gesichtschirurgie, Marienhospital Stuttgart, Böheimstrabe 37, 70199, Stuttgart. eichhorn-sens@web.de
Bund
T
T
Vogt
P M
PM
D001132:Arm / Q000473:pathology / Q000601:surgery; D018416:Bartonella henselae; D001706:Biopsy; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009336:Necrosis; D010146:Pain / Q000209:etiology*; D012509:Sarcoma / Q000175:diagnosis* / Q000473:pathology; D018461:Soft Tissue Infections / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D012983:Soft Tissue Neoplasms / Q000175:diagnosis* / Q000473:pathology; D040521:Subcutaneous Tissue / Q000473:pathology