猫抓病是典型的自限病,病原菌常常由猫抓处侵入体内,有时本病也能成为慢性和严重的疾病。在临床上对成人常不能做出诊断,导致误诊漏诊。国内仅见个别报导。本文报告一例猫抓病误诊淋巴结炎的诊治经过。 患者男性,35岁,主因右腋下,肘部淋巴结肿大伴疼痛10天入院。於3周前右手背被小猫抓伤,10天后在搔抓处出现小脓疱及小红丘疹不痒,几天后皮疹自愈,於入院前右腋下及肘部相继出现疼痛性肿块。口服抗菌素无效。查体:T37.2℃,右腋下-3cm~2大小肿之淋巴结,触痛明显,表面结节状,界限 Cat scratch disease is a typical self-limiting disease, pathogenic bacteria often invade the body at the cat scratch, and sometimes the disease can become a chronic and serious disease. Clinically, adults can not always make a diagnosis, resulting in misdiagnosis. Domestic only see individual reports. This article reports a case of cat scratching misdiagnosed lymphadenitis diagnosis and treatment. Male patient, 35 years old, mainly due to right armpit, elbow lymph node enlargement with pain 10 days admitted. Three weeks ago, his right hand was scratched by a kitten. After 10 days, a small pustule and a small red papule were observed at the scratched spot. After a few days the skin rash healed. Painful masses appeared on the right armpit and elbow before admission . Oral antibiotics invalid. Physical examination: T37.2 ℃, right axillary -3cm ~ 2 size of lymph nodes, tenderness, surface nodular, boundaries