Clinical and Radiologic Manifestations of Bone Infection in Children with Cat Scratch Disease.

Erdem, Guliz; Watson, Joshua R; Hunt, W Garrett; Young, Cody; Tomatis Souverbielle, Cristina; Honegger, Jonathan R; Cassady, Kevin A; Ilgenfritz, Megan et al. · J Pediatr · 2018

case_series · Level IV

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Abstract

We identified 13 patients with cat scratch (Bartonella henselae) bone infection among those admitted to a large tertiary care children's hospital over a 12-year period. The median age was 7 years and the median time from onset of illness to diagnosis was 10 days. Multifocal osteomyelitis involving spine and pelvis was common; no patient had a lytic bone lesion. Median treatment duration was 28 days (IQR, 24.5 days). Despite significant variations in treatment duration and antimicrobial therapy choices, all patients showed improvement.

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