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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Marques, T. Matias, M. Ribeiro, L. Ferreira, M. A. |
| Description | Author Affiliation: Matias M ( Oncology Department, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, EPE, Lisboa, Portugal.) |
| Abstract | A 71-year-old man operated for a sigmoid tumour remained in the surveillance after adjuvant chemotherapy. After 3 years, a left axillary lymph node was visible on CT scan. The biopsy revealed a necrotising and abscessed granulomatous lymphadenitis, suggestive of cat scratch disease. The patient confirmed having been scratched by a cat and the serology for Bartonella henselae was IgM+/IgG-. Direct and culture examinations for tuberculosis were negative. The patient was treated for cat scratch disease. One year later, the CT scan showed increased left axillary lymph nodes and a left pleural effusion. Direct and cultural examinations to exclude tuberculosis were again negative. Interferon-γ release assay testing for tuberculosis was undetermined and then positive. Lymph node and pleural tuberculosis were diagnosed and treated with a good radiological response. This article has provides evidence of the importance of continued search for the right diagnosis and that two diagnoses can happen in the same patient. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2013 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Cat-Scratch Disease Complications Sigmoid Neoplasms Tuberculosis, Lymph Node Tuberculosis, Pleural Bartonella Henselae Image-Guided Biopsy Positron-Emission Tomography Postoperative Complications Etiology Therapy Tomography, X-Ray Computed Diagnosis Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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