[The clinical analysis of cat scratch diseases with enlarged masses].
OBJECTIVE
In order to raise awareness of CSD and reduce misdiagnosis, we study the manisfection and treatment of CSD with enlarged masses.


METHODS
A retrospective study was carried out among the 10 identified patients with CSD on the basis of compatible clinical presentation and confirmatory pathology results for CSD.


RESULTS
All the 10 patient's first symptoms were masses at some part of the body, more common in the neck. The ratio was 5% at neck, 3% at armpit, 1% at upper, 1% at groin. Two patients had low heat, increased leukocyte and larger masses of more than 2 cm in diameter After surgical resection, and anti-inflammatory treatment. All the patients were cured after surgery and postoperative anti-inflammatory treatment, and there was no recurrence during the 7-year follow-up.


CONCLUSIONS
If patients were diagnosed and treated timely, the prognosis will be good. For the cases with extremely enlarged lymphonodus, surgical operation followed by antimicrobial chemotherapy will be a effective treatment.
Xing
Fenli
F
Department of Otorhinolaryngology, Nanjing First Hospital, Affiliated to Nanjing Medical University, Nanjing, 210006, China.
Gao
Zhiwei
Z
Tang
Hui
H
Wu
Yuanqing
Y
Li
Li
L
Luo
Xinghua
X
Fan
Hong
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D002372:Cat-Scratch Disease / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008206:Lymphatic Diseases / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult