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Chronic osteomyelitis associated with cat-scratch disease.
Brad G Prybis1, John L Eady, George S Kotchmar
1Department of Orthopmdic, University of South Carolina School of Medicine, Columbia, SC 29203, USA.
Journal of the Southern Orthopaedic Association
|May 14, 2003
Summary
Cat-scratch disease (CSD) can present atypically, such as with osteomyelitis. This case highlights a child with femoral osteomyelitis caused by Bartonella henselae, emphasizing diagnostic methods.
Area of Science:
- Infectious Diseases
- Pediatric Osteomyelitis
- Bartonella henselae Infections
Background:
- Cat-scratch disease (CSD) is typically self-limiting.
- Atypical presentations of Bartonella henselae infection include osteomyelitis, oculoglandular syndrome, and granulomatous hepatitis.
Observation:
- A 6-year-old boy presented with atypical CSD osteomyelitis of the left proximal femoral metaphysis.
- The infection was linked to a cat scratch.
Findings:
- Diagnosis was confirmed through clinical, serologic, and histologic examinations.
- Histologic examination revealed plasma cells, indicative of chronic osteomyelitis.
- Serial serology for Bartonella henselae was monitored.
Implications:
- This case contributes to the understanding of rare CSD manifestations in children.
- Highlights the importance of considering CSD in pediatric osteomyelitis cases.
- Reviews 16 reported cases of atypical CSD osteomyelitis in English literature.