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猫抓病为病因未明的非特异性炎症,又称非细菌性局部淋巴结炎,主要累犯淋巴结,一般不累及其它器官。已知病原由猫传给人,但从猫爪或唾液中未能分离出致病因子,猫本身并不患病。临床表现常为轻症,易被疏忽或误诊为其他淋巴病。病例报告例1:男、19岁。左颈部出现肿块20余天,无明显压痛、曾发寒热、头痛、全身不适一周,经中医诊断为淋巴结结核。临床检查:左锁骨上局部肿块、质软、活动、无触痛、与皮肤不粘连,肝助下刚触及,脾(-),胸透心肺正常。临床诊断:淋巴结炎。手术切除淋巴结送检。术后二个月随访,愈合良好,未见新病灶。家庭成员中无患同样疾病者。病理检查:淋巴结1.5×1.4×1cm,表面光滑,包膜尚完整,切面灰黄色。镜检
Cat scratch disease is unexplained non-specific inflammation, also known as non-bacterial lymphadenitis, mainly recidivism lymph nodes, usually does not affect other organs. It is known that the pathogen is passed from a cat to a human, but the pathogenic factor can not be separated from the cat’s paw or saliva, and the cat itself does not suffer from the disease. Clinical manifestations are often mild, easily overlooked or misdiagnosed as other lymphatic diseases. Case Report Example 1: Male, 19 years old. The left neck appeared mass more than 20 days, no significant tenderness, had a cold and heat, headache, general malaise a week, diagnosed by Chinese medicine as lymph node tuberculosis. Clinical examination: the left clavicle on the local mass, soft, activity, no tenderness, no adhesion with the skin, liver help just touched, spleen (-), chest through heart and lung normal. Clinical diagnosis: lymphadenitis. Surgical removal of lymph nodes. Follow-up two months later, healed well, no new lesions. Family members without the same disease. Pathological examination: lymph nodes 1.5 × 1.4 × 1cm, smooth surface, the envelope is still intact, cut grayish yellow. Microscopic examination