Multifocal osteomyelitis due to Bartonella henselae in a child without focal pain

Kodama, Yuichi; Maeno, Nobuaki; Nishi, Junichiro; Imuta, Naoko; Oda, Hiroshi; Tanaka, Satoru; Kono, Yukiharu; Kawano, Yoshifumi

doi:10.1007/s10156-007-0548-1

Cited by 17 publications

(14 citation statements)

References 9 publications

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“…Bartonella henselae and Pasteurella multocida infections are well described with exposure to cats and kittens. 19,20 The immunization status should be verified, especially when considering risk for H influenzae and pneumococcus. A family or medical history suggestive of sickle cell anemia or immunodeficiency could alter the empiric antibiotic choices.…”

Section: Patient Historymentioning

confidence: 99%

Osteoarticular Infections in Children

Arnold

Bradley

2015

Infectious Disease Clinics of North America

146

130

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Section: Patient Historymentioning

confidence: 99%

Osteoarticular Infections in Children

Arnold

Bradley

2015

Infectious Disease Clinics of North America

146

130

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“…5 Involvement of the ribs, cranium, and long bones has also been described. 6,7 Bone scintigraphy, indicated by pain (spontaneous or triggered by palpation), can identify such lesions, even in subclinical cases. Both vertebral bodies and posterior arches were affected in our patient.…”

mentioning

confidence: 99%

Cat-Scratch Disease and Bone Scintigraphy

Ismaili-Alaoui

Vuong²,

Marcu-Marin³

et al. 2012

Clinical Nuclear Medicine

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Cat-scratch disease is a bacterial infection caused by Bartonella henselae. Bone involvement is rare. We describe the case of a 7-year-old boy with a systemic form of the disease. He presented with a 15-day history of fever, altered general condition, weight loss and cough, associated with back pain, and right-sided coxalgia. Bone scintigraphy with Tc-99m hydroxymethylene diphosphonate showed spinal involvement, the iliac crest, the right ankle, and the right first metatarsal. Magnetic resonance imaging confirmed these locations. He was positive for anti-Bartonella henselae. The fever regressed before treatment with rifampicin began, and he made a full recovery.

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“…Bone histology reveals in the majority of cases an inflammatory reaction, with necrotic granulomas and a neutrophil infiltrate, suggestive of subacute osteomyelitis. 10,11 Standard x-ray may demonstrate lately osteolytic lesions, marginal sclerosis, or periostal reaction. 5,11,12 The present retrospective study has revealed only 6 cases of bone involvement in proven CSD during an interval of time of 8years.It is, however, the largest number of cases observed in 1 single hospital.…”

Section: Discussionmentioning

confidence: 98%

“…10,11 Standard x-ray may demonstrate lately osteolytic lesions, marginal sclerosis, or periostal reaction. 5,11,12 The present retrospective study has revealed only 6 cases of bone involvement in proven CSD during an interval of time of 8years.It is, however, the largest number of cases observed in 1 single hospital. Other diseases such as cancer, histiocytosis X, or other infections such as mononucleosis may give rise to the same symptoms 13 and were ruled out.…”

Section: Discussionmentioning

confidence: 98%