Cat-scratch disease is produced by the bacterium Bartonella henselae, a gram-negative bacillus transmitted through cutaneous inoculation by a cat or dog's scratch or bite. It has a wide clinical spectrum, from a typical picture characterized by a regional lymphadenopathy near to the inoculation site to atypical pictures with systemic compromise. Bone compromise is infrequent, it represents around 0.2-0.5 % of the cases. We present a 3-year-old previously healthy patient, who was admitted with prolonged fever related to pain and movement limitation of the cervical spine. Diagnosis of cat-scratch disease with multiple bone involvement was reached.

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http://dx.doi.org/10.5546/aap.2021.e84DOI Listing

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