[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.
Cabinet de stomatologie et chirurgie maxillofaciale, 69, rue de la Tour, 75116 Paris, France. lbenslama@mac.com
L
L
Ben Slama
W
W
Hasni
B
B
Royer
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