A Patient with Cat-scratch Disease Diagnosed by Detailed Medical History and Physical Examination

• Kusano Syunsuke

  兵庫県立柏原病院総合内科

• Kenzaka Tsuneaki

  兵庫県立柏原病院総合内科 神戸大学大学院医学研究科地域医療支援学部門

• Yamamoto Tetsuya

  兵庫県立柏原病院総合内科

• Akita Hozuka

  兵庫県立柏原病院総合内科

Bibliographic Information

Other Title

• 病歴聴取と身体診察により診断に至った複数領域のリンパ節腫脹を伴う猫ひっかき病の1例

Abstract

Cat-scratch disease occurs after a scratch from a cat infected with Bartonella henselae. We report a 64-year-old man with cat-scratch disease who had swollen lymph nodes. Consequently, metastasis of a malignant tumor was suspected as the most likely cause in the differential diagnosis. Therefore, the diagnosis was delayed and several diagnostic examinations were performed. Although diagnosis was difficult in this case, an accurate diagnosis was achieved by taking a detailed medical history, including questioning about pet ownership, and by carefully examining the lower limbs including the femoral region. These steps are important to diagnose cat-scratch disease.

Journal

• An Official Journal of the Japan Primary Care Association

  An Official Journal of the Japan Primary Care Association 40 (3), 156-159, 2017

  JAPAN PRIMARY CARE ASSOCIATION

Keywords

• lymphadenopathy
• cat-scratch disease
• <i>Bartonella henselae</i>
• Malignant tumor

Details

• CRID: 1390282680322237696
• NII Article ID: 130006107518
• DOI: 10.14442/generalist.40.156
• ISSN: 21872791
• ISSN: 21852928
• Web Site: https://www.jstage.jst.go.jp/article/generalist/40/3/40_156/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2018307935
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed