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首页> 外文期刊>Radiology >Uncomplicated cat-scratch disease: findings at CT, MR imaging, and radiography.
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Uncomplicated cat-scratch disease: findings at CT, MR imaging, and radiography.

机译：简单的猫抓病：CT，MR成像和X线摄影的发现。

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摘要

PURPOSE: To describe the epidemiologic, clinical, and imaging features of cat-scratch disease (CSD) to facilitate prompt recognition and noninvasive diagnosis of this condition. MATERIALS AND METHODS: Eight otherwise healthy patients with pet cats presented with the subacute onset of epitrochlear, axillary, or groin masses. All underwent cross-sectional imaging with computed tomography (CT) (n = 1) or magnetic resonance (MR) imaging (n = 7). Five patients underwent radiography of the elbow. RESULTS: In all patients, MR imaging and CT showed a poorly defined soft-tissue mass with extensive surrounding edema in an efferent lymphatic distribution. Radiography revealed only soft-tissue edema in two patients and an ill-defined soft-tissue mass with soft-tissue edema in three patients. Six patients underwent biopsy; the findings of all pathologic specimens supported the diagnosis of CSD. No patients underwent serologic evaluation. All patients were asymptomatic within 4 weeks of beginning antibiotic therapy.CONCLUSION: CSD should be considered in all patients with upper extremity or head and neck adenopathy and a history of cat exposure. Although generally not required for diagnosis, cross-sectional imaging will reveal a mass with surrounding edema in an area of lymphatic drainage.
机译：目的：描述猫抓病（CSD）的流行病学，临床和影像学特征，以促进对此病的迅速识别和非侵入性诊断。材料和方法：八名其他健康的宠物猫患者出现亚急性上皮性，腋窝或腹股沟肿块。所有患者均采用计算机断层扫描（CT）（n = 1）或磁共振（MR）成像（n = 7）进行横断面成像。五名患者接受了放射线照相。结果：在所有患者中，MR成像和CT显示软组织肿块定义不清，周围广泛水肿，传出淋巴分布。影像学检查仅发现两名患者出现软组织水肿，三名患者出现软组织水肿的不明确软组织肿块。 6例患者接受了活检。所有病理标本的发现均支持CSD的诊断。没有患者接受血清学评估。所有患者在开始抗生素治疗后4周内无症状。结论：所有上肢或头颈部腺病且有猫接触史的患者均应考虑CSD。尽管通常不需要诊断，但断层显像可显示淋巴引流区域周围水肿的肿块。

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