Razafindrazaka H, Redl S, Aouchiche F, Grosleron S, Nazal-Traissac EM, Rispal P, Imbert Y. [Bone involvement in cat scratch disease].
Rev Med Interne 2021;
42:875-880. [PMID:
34215457 DOI:
10.1016/j.revmed.2021.06.010]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Revised: 06/01/2021] [Accepted: 06/15/2021] [Indexed: 11/29/2022]
Abstract
INTRODUCTION
Cat scratch disease caused by Bartonella henselae with bone involvement is a rare presentation.
CASE REPORT
We report a case of disseminated bartonellosis with multifocal osteomyelitis and multiple visceral involvement in an immunocompetent adult. Diagnostic confirmation was obtained by PCR on lymphadenopathy. In addition to our observation, 31 cases of bartonellosis with bone involvement were reported in the literature. Diagnosis is based on a combination of history, serology and PCR performed on tissue. The antibiotic treatment allows recovery in all cases.
CONCLUSION
Cat scratch disease in its systemic form with bone involvement is a rare and difficult diagnosis for the clinician and an invasive approach is often required to obtain the diagnosis.
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