Abstract
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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 837-839 |
| Number of pages | 3 |
| Journal | Radiology |
| Volume | 195 |
| Issue number | 3 |
| State | Published - 1995 |
Fingerprint
Keywords
- Cat-scratch fever
- Lymphatic system, infection
ASJC Scopus subject areas
- Radiological and Ultrasound Technology
Cite this
Uncomplicated cat-scratch disease : Findings at CT, MR imaging, and radiography. / Dong, Paul R; Seeger, L. L.; Yao, L.; Panosian, C. B.; Johnson, B. L.; Eckardt, J. J.
In: Radiology, Vol. 195, No. 3, 1995, p. 837-839.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Uncomplicated cat-scratch disease
T2 - Findings at CT, MR imaging, and radiography
AU - Dong, Paul R
AU - Seeger, L. L.
AU - Yao, L.
AU - Panosian, C. B.
AU - Johnson, B. L.
AU - Eckardt, J. J.
PY - 1995
Y1 - 1995
N2 - 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.
AB - 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.
KW - Cat-scratch fever
KW - Lymphatic system, infection
UR - http://www.scopus.com/inward/record.url?scp=0029001344&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0029001344&partnerID=8YFLogxK
M3 - Article
C2 - 7754017
AN - SCOPUS:0029001344
VL - 195
SP - 837
EP - 839
JO - Radiology
JF - Radiology
SN - 0033-8419
IS - 3
ER -