Lale KUTLUAY, Tuncay ÖZÇELİK, Utku AYDİL

Tıbbi tedaviye yanıt vermeyen siyaladenit ve submandibuler bez apsesi: Kedi tırmığı hastalığının atipik seyri

Kedi tırmığı hastalığı (KTH), Bartonella henselae tarafından oluşturulan, kendini sınırlayan ve benign seyirli bir hastalıktır. KTH, enfeksiyöz lenfadenopatilerin önemli bir nedenidir ve en sık olarak aksiller, servikal, preaurikuler ve subman-dibuler lenf nodu gruplarını tutar. Enfeksiyon genellikle bir kedi ile temas öyküsü bulunan çocuklarda ve genç erişkinlerde görülür. Burada daha önce sağlık sorunu bulunmayan, antibiyotik tedavisine yanıt vermeyen submandibulerbez enfeksiyonu ve pürülan akıntısı olan 42 yaşındaki bir kadın hasta sunulmaktadır. Submandibuler bezin cerrahieksizyonu ile enfeksiyon iyileştirilmiş ve histopatolojik inceleme bulgularına göre KTH tanısı konmuştur. (Gazi Med J 2011; 22: 91-3

Sialadenitis and salivary gland abscess refractory to medical treatment: An atypical presentation of cat scratch disease

Cat scratch disease (CSD) is a benign and self-limiting infectious disease caused by Bartonella henselae . CSD is animportant cause of infectious lymphadenopathies and the most common involvement sites are axillary, cervical,preauricular and submandibular lymph node groups. The infection usually occurs in children and young adults whohave a history of contact with cats. In this report, we present a previously healthy 42-year-old female presenting withsubmandibular gland infection and purulent drainage resistant to antibiotics. Infection was succesfully cured aftersurgical excision of the submandibular gland and the diagnosis of CSD was made on the basis of histolopathologicalfindings of the surgical specimen. (Gazi Med J 2011; 22: 91-3)

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