Multifocal pelvic osteomyelitis in a child associated with cat-scratch disease: a case report and review of the literature

K Zellali; E Benard; E Smokvina; A Belgaid; F Labbé; V Bertrand

doi:10.1080/20469047.2018.1476304

Multifocal pelvic osteomyelitis in a child associated with cat-scratch disease: a case report and review of the literature

Paediatr Int Child Health. 2019 Nov;39(4):290-293. doi: 10.1080/20469047.2018.1476304. Epub 2018 Aug 10.

Authors

K Zellali¹, E Benard², E Smokvina³, A Belgaid¹, F Labbé², V Bertrand¹

Affiliations

¹ Paediatric Unit, Hôpital Jacques Monod , Le Havre , France.
² Microbiology Laboratory, Hôpital Jacques Monod , Le Havre , France.
³ Radiology Department, Hôpital Jacques Monod , Le Havre , France.

PMID: 30092749
DOI: 10.1080/20469047.2018.1476304

Abstract

Bone infections in cat-scratch disease (CSD) are uncommon and the diagnosis can be missed. A 3-year-old boy with multifocal pelvic osteomyelitis caused by Bartonella henselae is reported. Serological tests were negative but DNA was detected by polymerase chain reaction assay of a lymph node. A swift recovery followed antibiotic treatment and there was completeresolution within a few months. The literature on 64 cases of osteomyelitis owing to CSD in children and adults since 1954 is reviewed.

Keywords: child; osteomyelitis.

Publication types

Case Reports
Systematic Review

MeSH terms

Adolescent
Adult
Animals
Anti-Bacterial Agents / administration & dosage
Bartonella henselae / isolation & purification*
Cat-Scratch Disease / complications*
Cat-Scratch Disease / diagnosis*
Cat-Scratch Disease / drug therapy
Cat-Scratch Disease / pathology
Cats
Child
Child, Preschool
DNA, Bacterial / analysis
DNA, Bacterial / genetics
Female
Humans
Lymph Nodes / microbiology
Male
Middle Aged
Osteomyelitis / drug therapy
Osteomyelitis / etiology*
Osteomyelitis / pathology*
Pelvic Bones / pathology*
Polymerase Chain Reaction
Treatment Outcome
Young Adult

Substances

Anti-Bacterial Agents
DNA, Bacterial