Cat-scratch disease. Subtle vertebral bone marrow abnormalities demonstrated by MR imaging and radionuclide bone scan.
Cat-scratch disease (CSD) is a benign, self-limited cause of lymphadenitis occurring mainly in children and young adults. Its etiology is a delicate, small gram-negative pleomorphic bacillus. Less common manifestations of CSD are seen in 5% of patients and include Parinaud's oculoglandular syndrome (with enlargement of the preauricular nodes), parotid gland enlargement, encephalitis, radiculopathy, pneumonitis, erythema nodosum, thrombocytopenia, and lytic bone lesions. We describe a patient in whom magnetic resonance imaging initially detected subtle vertebral bone marrow abnormalities that correlated with the site of abnormality on a subsequent radionuclide bone scan.
Wilson
J D
JD
Department of Radiology, University of North Carolina School of Medicine, Chapel Hill 27599-7510, USA.
Castillo
M
M
D000328:Adult; D001365:Axilla; D001853:Bone Marrow / Q000002:abnormalities* / Q000000981:diagnostic imaging; D002372:Cat-Scratch Disease / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008199:Lymphadenitis / Q000175:diagnosis / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D011877:Radionuclide Imaging; D013122:Spinal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging*