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1临床资料患者男,70岁。左侧颌下淋巴结肿大40d。40d前,患者左侧颌下摸到一樱桃大肿物,挤压后伴有疼痛,当地诊所以“淋巴结炎”静滴头孢类抗生素(具体用药不详),无效,肿物仍进行性增大,目前已至红枣大小。患者家中养猫2年,常与猫密切接触,2个月前曾被猫抓伤面部,5d后被抓伤部位皮肤出现暗红色玉米粒大小的丘疹,自行外用醋酸氢化可的松乳膏后皮损消退。体检:系统检查未见异常。皮肤科情况:左侧颌下可触及
1 clinical data patient male, 70 years old. Left submandibular lymph node enlargement 40d. 40d ago, the patient’s left submandibular touch of a large cherry mass, accompanied by pain after squeezing, the local clinic with “lymphadenitis” intravenous cephalosporins antibiotics (specific medication unknown), invalid, the tumor is still progressive Increase, now has the jujube size. Cats in patients with home for 2 years, often in close contact with cats, cats were scratched 2 months ago the face, 5d after the skin was scratched spots dark red corn-sized papules, their own external use of hydrocortisone acetate cream Skin lesions subsided. Physical examination: no abnormalities in system examination. Dermatology: left submandibular palpable