Cat Scratch Disease Is an Entity Often Diagnosed in Breast Imaging Department During Axillary Lymph Node Assessment

Cat scratch disease (CSD) is an infectious disease process of generally immunocompetent children and young adults. This infection can be introduced through skin trauma by direct exposure to the saliva of an infected kitten or cat. CSD is typically associated with constitutional symptoms and self-lim...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2020-07, Vol.12 (7)
Main Authors: Lin, Michael V, Nguyen, Nga T, Qian, You-Wen, Phan, Vincent T, Nguyen, Quan D
Format: Article
Language:English
Subjects:
Abscesses
Biopsy
Breast cancer
Case reports
Cats
Disease
Erythema
Family medical history
Fever
Flow cytometry
Immunoglobulins
Infectious Disease
Internal Medicine
Lymphatic system
Lymphoma
Mammography
Medical diagnosis
Medical screening
Neutrophils
Pain
Radiology
Serology
Sweating
Ultrasonic imaging
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Summary:Cat scratch disease (CSD) is an infectious disease process of generally immunocompetent children and young adults. This infection can be introduced through skin trauma by direct exposure to the saliva of an infected kitten or cat. CSD is typically associated with constitutional symptoms and self-limited regional lymphadenopathy. In the sole presence of swollen lymph nodes, however, the differential diagnosis for CSD is relatively broad, including an active infection, an ongoing inflammatory process, and a metastatic process. CSD can present as axillary lymphadenopathy without typical constitutional symptoms. With proper clinical and laboratory investigation, CSD can be accurately identified and correctly diagnosed, as demonstrated in this case series featuring five symptomatic young adults with axillary lymphadenopathy. Breast imaging clinic specializes in lymph node assessment because metastatic lymphadenopathy is one of the most common presenting signs of breast cancer. Most isolated axillary lymphadenopathy without breast mass is benign reactive lymphadenopathy, but biopsy is necessary to exclude malignancies, such as metastatic lymphadenopathy or lymphoma.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.9272