[Cat-scratch disease localisation in the parotid gland].
BACKGROUND
Cat scratch disease is an infection due to Bartonella henselae. It is one of the principal causes of benign chronic adenopathy in children or young adults.


METHODS
A 36-year-old woman presented with a left parotid pre-auricular swelling suggesting a pleiomorphic adenoma. The history and complementary tests (ultra sonography, MRI, cytopuncture, B. henselae serology) led to a diagnosis of cat scratch disease. Doxycilline was efficient within 15 days.


CONCLUSIONS
The parotid localization of cat scratch disease is very rare. When a patient presents with parotid swelling, the distinction between a tumor and lymph node is not easy. Performing complementary tests can be in balance with a quicker but sometimes inappropriate surgical indication. The diagnosis is made even more difficult because of delayed specific serologic tests as for B. henselae.
Ben Slama
L
L
Cabinet de stomatologie et chirurgie maxillofaciale, 69, rue de la Tour, 75116 Paris, France. lbenslama@mac.com
Hasni
W
W
Royer
B
B
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D018416:Bartonella henselae / Q000302:isolation & purification; D002372:Cat-Scratch Disease / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000627:therapeutic use; D005260:Female; D006801:Humans; D010305:Parotid Diseases / Q000175:diagnosis*; D010307:Parotid Neoplasms / Q000175:diagnosis
D000900:Anti-Bacterial Agents; D004318:Doxycycline