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目的:总结猫抓病性淋巴结炎的临床病理特征,探讨其病理诊断及鉴别诊断。方法:收集我院病理科2005年5月到2014年1月的猫抓病性淋巴结炎66例,对其临床病理资料进行回顾性分析,所有病例均行HE染色及Warthin-Starry(W-S)染色。结果:本组66例患者中男性39例,女性27例(男∶女=1.44∶1),年龄分布从6~72岁(中位年龄40岁),41例患者有被猫、狗、老鼠等小动物抓伤或咬伤的病史,病史从10天到3月不等。18例患者有发热,累及淋巴结的部位包括肘部、腋窝、颈部等。39例患者W-S染色查见阳性杆菌。结论:猫抓病性淋巴结炎容易被临床误诊肿瘤性或其它炎性病变。对于淋巴结肿大的患者临床医生须详细询问病史,病理诊断须结合HE及WS染色及其它特殊染色进行诊断及鉴别诊断。
OBJECTIVE: To summarize the clinical and pathological features of cat scratch lymphadenitis and to explore its pathological diagnosis and differential diagnosis. Methods: 66 cases of cat scratch lymphadenitis were collected from May 2005 to January 2014 in our hospital. The clinical and pathological data were retrospectively analyzed. All the cases were stained with HE and Warthin-Starry (WS) . Results: There were 39 males and 27 females (male: female = 1.44:1) in 66 patients. The age distribution ranged from 6 to 72 years old (median age 40 years). 41 patients were cats, dogs, mice Other small animal scratches or bites history, history from 10 days to March. Eighteen patients had fever, lymph nodes involved include elbows, armpits, neck and so on. 39 cases of positive W-S staining positive bacteria. Conclusion: Cat scratch disease lymphadenitis is easily misdiagnosed as tumor or other inflammatory diseases. For patients with enlarged lymph nodes clinicians to ask history in detail, pathological diagnosis should be combined with HE and WS staining and other special staining diagnosis and differential diagnosis.