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MALIGN LENFOMA KLİNİĞİNİ TAKLİT EDEN GRANÜLOMATÖZ LENFADENİT VAKASI: AYIRICI TANIDA KEDİ TIRMIĞI HASTALIĞI

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2003

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
SUMMARY A Case who has granülomatous lymphadenopaty which mimicked malignanl lymphoma: Cat serateh disease in differential diagnosis. Cat serateh disease mainly affects clıildren and yo~ ung adults İn whom usually presents as a bening, self Hmited lymphadenopathy. Bartonella henselae is the primary agent of this disease and is diagnosed on the basis of scrological teeh-nique and direct identification by PCR from lymph node tissuc. Occasionally systemic symptoms and jeneralize lymphadenopathy oecur and the disease may simulate malignant lymphoma. It is presented a case vvho has splcnic hipodens lesions and cervical and intraabdo-minal lymphadenopathy which mimİck malign lymphoma. Cat serateh disease is considered by excisionel biopsy of lymph node, showing specific anti-body of Bartonella henselae and rcsolvrng of ali the lesions vvithout treatment. This disease should be considered in child and young adult patients with regional and generalise lymphadenopathy and unnecessary invasive procedure should be avoİded.
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Abstract (Original Language): 
Kedi tırmığı hastalığı başlıca çocukları ve genç erişkinleri etkileyen selim seyirlİ kendi kendini .sınırlayan lenfadenopati ile ortaya çıkan bir hastalıktır. Bartonella henselae en sık neden olan etkendir vc lenfoid dokulardan PCR ile direkt basilin saptanması ve serolojik tekniklerle tanı konulmaktadır. Bazen hastalıkta sistemik semptomlarla yaygın lenfadenopati gelişmekte ve habis lenfomayı taklit edebilmektedir. Burada habis Icnfomayı andıran servikal ve intraabdo-minal lenfadenopati ile splenİk hipodens lezyonlan olan bir vaka sunulmuştur. Kedi tırmığı hastalığı, lenf bezi biyopsisi, Bartonella henselae antikorlarının gösterilmesi vc lezyonların te-davisiz gerilemesi ile düşünülmüştür. Bölgesel ve yaygın lenfadenopatisi olan çocuk ve genç erişkinlerde kedi tırmığı hastalığı düşünülmeli ve gereksiz invazif işlemlerden kaçınılmalıdır.
FULL TEXT (PDF): 
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  • 4
256-260
  • Turkish

REFERENCES

References: 

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