AI Article Synopsis

  • Cat-scratch disease, caused by the bacteria Bartonella henselae, can lead to systemic infection, though bone involvement is uncommon.
  • A 7-year-old boy experienced severe symptoms including fever, weight loss, and pain, ultimately showing spinal and bone involvement confirmed by imaging.
  • After testing positive for the bacteria, he began treatment with rifampicin and successfully recovered after his fever subsided.

Article Abstract

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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http://dx.doi.org/10.1097/RLU.0b013e31824d252fDOI Listing

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