Lymphadenopathy at the medial epitrochlear region in cat-scratch disease

Gielen, Jan; Wang, X. L.; Fm, Vanhoenacker; Schepper, Heiko U. De; Beuckeleer, L. De; Vandevenne, J; Schepper, A. De

doi:10.1007/s00330-002-1673-y

Cited by 19 publications

(25 citation statements)

References 17 publications

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“…4,24 This appearance corresponds to the reported appearance of cat scratch disease on MRI, with mixed enhancing solid and fluid components (Figures 2 and 3). 10 The other significant finding of a hyperchoic hilum seen in cat scratch disease was not unexpected; however, it was surprising that no other causes of an epitrochlear mass showed this finding, even the cases of lymph node hyperplasia.…”

Section: Discussionmentioning

confidence: 94%

“…Although the appearance of such lymph node lesions on MRI has been described, the sonographic features of cat scratch disease have not been fully evaluated. 10,12 Reported sonographic features of involved regional lymph nodes in cat scratch disease without suppuration include a hypoechoic mass with or without increased posterior through-transmission. 12 Although the lymph nodes in our patients with cat scratch disease were also commonly hypoechoic (80%), those in patients with other causes of epitrochlear masses were also commonly hypoechoic (82%).…”

Section: Discussionmentioning

confidence: 99%

“…Medial epitrochlear lymphadenopathy from cat scratch disease has been characterized on magnetic resonance imaging (MRI) as enlarged enhancing lymph nodes with possible necrosis and surrounding edema. 10,11 Magnetic resonance imaging findings may appear nonspecific and simulate malignancy. The sonographic appearance of epitrochlear lymphadenopathy from cat scratch disease has been described as hypoechoic enlarged lymph nodes with possible through-transmission and substantial hyperemia.…”

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confidence: 99%

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Sonography of Cat Scratch Disease

Melville

Jacobson

Downie

et al. 2015

J of Ultrasound Medicine

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Sonography of Cat Scratch Disease

Melville

Jacobson

Downie

et al. 2015

J of Ultrasound Medicine

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“…Ultrasonography and/or CT examination give a better description of enlarged lymph nodes and may disclose the infrequent granulomatous involvement of visceral organs [1][2][3]. Diagnostic imaging may also give some help in the differential diagnosis of the most common localization of lymphadenopathy (that involving epitrochlear region); a recent magnetic resonance imaging (MRI) study has allowed the differential diagnosis of lymphadenopathy at this site, which was mainly caused by B. henselae regional infection alone [17].…”

Section: Discussionmentioning

confidence: 99%

Bartonellosis: suggestive case reports in adult and pediatric patients and therapeutic issues

Manfredi¹,

Sabbatani²

2006

Braz J Infect Dis

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Cat-scratch disease warrants extensive investigation, from an epidemiological, a diagnostic, but especially a therapeutic point of view. Two suggestive episodes of Bartonella henselae-caused cat-scratch disease are reported, and discussed in the light of the most recent literature evidence. The first case occurred in a 60-year-old man, thus suggesting that it is important to maintain an elevated level of suspicion for this disease in adults as well. Both episodes were characterized by a very prolonged and complicated disease course (with the involvement of three lymph node sets in the first case), a need for lymph-node drainage, and apparently negligible activity of many antimicrobial courses, with a very slow local cure. While specific culture and molecular biology techniques proved negative (probably due to late availability of appropriate clinical specimens), indirect immunofluorescence antibody assay was positive since the first weeks of disease, and elevated levels were also fond many months after disease onset. When clinicians face patients with prominent swelling of lymph nodes draining from the upper limbs, cat-scratch disease may be suspected on the grounds of epidemiological and clinical features, with a limited systemic involvement contrasting with a prominent local disease. The significance of specific antibody temporal kinetics in the subacute disease course is still unknown. Although biomolecular assays are now available, the time elapsed from disease onset to clinical diagnosis usually hampers diagnosis, while the roles of surgical debridement and of the unpredictable activity of antimicrobial chemotherapy warrant careful investigation.

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“…Though epitrochlear lymph nodes may be enlarged as a part of generalized lymphadenopathy, isolated enlargement of epitrochlear lymph nodes is rarely seen. Cat scratch disease [3], leprosy [4], leishmaniasis [5,6] and tuberculosis [7] are a few reported benign causes of isolated epitrochlear lymph node enlargement; malignant causes include lymphoma and malignant melanoma. To the best of our knowledge, this is the first case report of enlargement of mid-arm lymph nodes along with epitrochlear lymph nodes caused by bancroftian filariasis, a benign disease.…”

Section: Introductionmentioning

confidence: 99%