Rheumatic manifestations of Bartonella infection in 2 children.
We describe 2 patients with very unusual rheumatological presentations presumably caused by Bartonella infection: one had myositis of proximal thigh muscles bilaterally, and the other had arthritis and skin nodules. Both patients had very high levels of antibody to Bartonella that decreased in association with clinical improvement. Bartonella infection should be considered in the differential diagnosis of unusual myositis or arthritis in children.
Al-Matar
Mohammad J
MJ
Department of Pediatrics and Radiology, University of British Columbia at British Columbia's Children's Hospital, Vancouver, Canada.
Petty
Ross E
RE
Cabral
David A
DA
Tucker
Lori B
LB
Peyvandi
Banafshi
B
Prendiville
Julie
J
Forbes
Jack
J
Cairns
Robyn
R
Rothstein
Ralph
R
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000188:drug therapy / Q000276:immunology* / Q000473:pathology; D001474:Bartonella Infections / Q000188:drug therapy / Q000276:immunology* / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D004359:Drug Therapy, Combination; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D018482:Muscle, Skeletal / Q000473:pathology*; D009220:Myositis / Q000188:drug therapy / Q000276:immunology* / Q000473:pathology; D011859:Radiography; D012218:Rheumatoid Nodule / Q000188:drug therapy / Q000276:immunology / Q000473:pathology; D012867:Skin / Q000473:pathology; D013848:Thigh / Q000473:pathology*; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents