Cat-Scratch Disease Simulating Lymphoma

Wong, Terence Z.; Kruskal, Jonathan B.; Kane, Robert A.; Trey, Gary

doi:10.1097/00004728-199601000-00032

Cited by 18 publications

(7 citation statements)

References 2 publications

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“…Pseudomalignancy: Simulating lymphoma, mimicking breast tumor, simulating a malignant process of the chest wall, simulating rhabdomyosarcoma, mimicking parotid malignancy 26–30…”

Section: Introductionmentioning

confidence: 99%

Bartonella and intraocular inflammation: a series of cases and review of literature

Kalogeropoulos

Koumpoulis²,

Mentis³

et al. 2011

OPTH

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Purpose:To present various forms of uveitis and/or retinal vasculitis attributed to Bartonella infection and review the impact of this microorganism in patients with uveitis.Methods:Retrospective case series study. Review of clinical records of patients diagnosed with Bartonella henselae and Bartonella quintana intraocular inflammation from 2001 to 2010 in the Ocular Inflammation Department of the University Eye Clinic, Ioannina, Greece. Presentation of epidemiological and clinical data concerning Bartonella infection was provided by the international literature.Results:Eight patients with the diagnosis of Bartonella henselae and two patients with B. quintana intraocular inflammation were identified. Since four patients experienced bilateral involvement, the affected eyes totaled 14. The mean age was 36.6 years (range 12–62). Uveitic clinical entities that we found included intermediate uveitis in seven eyes (50%), vitritis in two eyes (14.2%), neuroretinitis in one eye (7.1%), focal retinochoroiditis in one eye (7.1%), branch retinal vein occlusion (BRVO) due to vasculitis in one eye (7.1%), disc edema with peripapillary serous retinal detachment in one eye (7.1%), and iridocyclitis in one eye (7.1%). Most of the patients (70%) did not experience systemic symptoms preceding the intraocular inflammation. Antimicrobial treatment was efficient in all cases with the exception of the case with neuroretinitis complicated by anterior ischemic optic neuropathy and tubulointerstitial nephritis.Conclusion:Intraocular involvement caused not only by B. henselae but also by B. quintana is being diagnosed with increasing frequency. A high index of suspicion is needed because the spectrum of Bartonella intraocular inflammation is very large. In our study the most common clinical entity was intermediate uveitis.

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“…Pseudomalignancy: Simulating lymphoma, mimicking breast tumor, simulating a malignant process of the chest wall, simulating rhabdomyosarcoma, mimicking parotid malignancy 26–30…”

Section: Introductionmentioning

confidence: 99%

Bartonella and intraocular inflammation: a series of cases and review of literature

Kalogeropoulos

Koumpoulis²,

Mentis³

et al. 2011

OPTH

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“…Approximately 10% of patients with CSD develop atypical manifestations, including Parinaud's oculoglandular syndrome, neuroretinitis, encephalitis, erythema nodosum, arthritis, and pulmonary nodules [1]. Timely and accurate diagnosis of CSD is important because the clinical presentation and course of CSD, usually a benign and self-limited but prolonged lymphadenitis, may resemble lymphoma or other malignant processes [2]. To rule out the latter diagnoses, patients with CSD often undergo…”

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confidence: 99%

Enzyme Immunoassay for the Diagnosis of Cat‐Scratch Disease Defined by Polymerase Chain Reaction

Giladi¹,

Kletter²,

Avidor³

et al. 2001

CLIN INFECT DIS

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Whole-cell immunofluorescent antibody (IFA) tests for detection of anti-Bartonella henselae immunoglobulin (Ig) G are commonly used to diagnose cat-scratch disease (CSD). The need to cultivate B. henselae in Vero cells for antigen preparation and the absence of routinely applied IFA assays for IgM constitute the major disadvantages of this form of test. We describe the results of an enzyme immunoassay (EIA) for IgM and IgG that used N-lauroyl-sarcosine-insoluble outer membrane antigens from agar-grown B. henselae performed in 84 patients with definite CSD (regional lymphadenitis, cat contact, and > or =1 confirmatory test: polymerase chain reaction, skin test, or B. henselae culture). Although this method has been used as a diagnostic tool in several case reports, it has not previously been evaluated in a large study of definitively proven CSD cases. Results of this study indicate that the EIA described herein can play an important role in the serodiagnosis of CSD, although improvement of the sensitivity, particularly that of the IgM, would be desirable.

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“…Rarely, splenic CSD may require splenectomy [8,9]. The clinical resemblance to lymphoma, of splenic abscesses in disseminated CSD such as our patient presented with, has been described [10]. …”

Section: Resultsmentioning

confidence: 85%