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Cat Scratch Disease—A Benign Disease with Thymic Hyperplasia Mimicking Lymphoma

Authors :
Ming Hui Leong
Mohd Jadi Nabillah
Iqbal Hussain Rizuana
Abdullah Asma
Thean Yean Kew
Geok Chin Tan
Source :
Diagnostics, Vol 13, Iss 14, p 2457 (2023)
Publication Year :
2023
Publisher :
MDPI AG, 2023.

Abstract

Cat scratch disease (CSD) is a benign condition caused by the inoculation of Bartonella henselae. The imaging findings are non-specific, and it is difficult to diagnose the disease via imaging. However, imaging studies help exclude other differential diagnoses in diagnostic dilemmas. We encountered a case of a 17-year-old adolescent who presented with painful neck swelling. CT showed multiple bilateral cervical lymphadenopathies with triangular soft tissue mass at the anterior mediastinum likely to be thymic hyperplasia, which is unusual in CSD and was mistaken for a lymphoproliferative disorder. Tissue diagnosis with a thorough clinical history yielded the diagnosis of cat scratch disease, and follow-up imaging showed resolution of the cervical lymphadenopathy and thymic hyperplasia.

Details

Language :
English
ISSN :
20754418
Volume :
13
Issue :
14
Database :
Directory of Open Access Journals
Journal :
Diagnostics
Publication Type :
Academic Journal
Accession number :
edsdoj.223e0729ba774feb8da1db9ce25a37bc
Document Type :
article
Full Text :
https://doi.org/10.3390/diagnostics13142457