Cat-scratch disease osteomyelitis from a dog scratch.
Osteomyelitis is a rare manifestation of cat-scratch disease in patients who do not have AIDS. The clinical presentation and non-specific subacute course of the disease make diagnosis difficult. We present a child with osteomyelitis of a metacarpal following a dog scratch. Bartonella henselae was found to be the aetiological agent. The bone healed after treatment with antibiotics. Increased awareness and a comprehensive medical history are needed to identify patients with suspected Bartonella henselae osteomyelitis.
Department of Pediatric Orthopaedics, Dana Children's Hospital, Tel-Aviv, Israel.
D
D
Keret
M
M
Giladi
Y
Y
Kletter
S
S
Wientroub
D000818:Animals; D018416:Bartonella henselae / Q000302:isolation & purification; D002372:Cat-Scratch Disease / Q000175:diagnosis / Q000635:transmission*; D002648:Child; D004285:Dogs / Q000382:microbiology*; D006230:Hand Injuries / Q000382:microbiology; D006801:Humans; D008297:Male; D008663:Metacarpus; D010019:Osteomyelitis / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology