Multifocal bone marrow involvement in cat-scratch disease

Sean J Hipp, Ashley O'Shields, Lynn A Fordham, Julie Blatt, Harvey J Hamrick, Frederick W Henderson

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

We describe 2 children with prolonged fever of unknown origin and prominent skeletal pain who had multifocal bone disease caused by Bartonella infection. Initial radiologic studies, including plain films, radionuclide scintigraphy and computed tomography, yielded negative results. In both cases, magnetic resonance imaging revealed multiple enhancing bone marrow lesions consistent with clinical symptoms. Microbiologic diagnoses were established serologically.

Original languageEnglish
Pages (from-to)472-4
Number of pages3
JournalPediatric Infectious Disease Journal
Volume24
Issue number5
DOIs
StatePublished - May 2005
Externally publishedYes

Keywords

  • Animals
  • Anti-Bacterial Agents/therapeutic use
  • Bartonella henselae/isolation & purification
  • Bone Marrow/microbiology
  • Cat-Scratch Disease/complications
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Humans
  • Magnetic Resonance Imaging/methods
  • Male
  • Osteomyelitis/diagnosis
  • Risk Assessment
  • Severity of Illness Index
  • Tomography, X-Ray Computed/methods
  • Treatment Outcome

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