Cat scratch disease presenting as orbital abscess and osteomyelitis.
Ocular manifestations of cat scratch disease are uncommon. The diagnosis is usually made on the basis of increasing Bartonella henselae serum antibody titers. We report a child presenting with orbital abscess and osteomyelitis who was diagnosed with hepatosplenic cat scratch disease by detection of B. henselae DNA in the orbital abscess fluid.
Mirakhur
Beloo
B
Divisions of General Pediatrics, The Children's Hospital of Philadelphia. Scheie Eye Institute, Philadelphia, Pennsylvania 19104, USA.
Shah
Samir S
SS
Ratner
Adam J
AJ
Goldstein
Scott M
SM
Bell
Louis M
LM
Kim
Jean O
JO
D000038:Abscess; D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial / Q000097:blood; D001473:Bartonella / Q000276:immunology / Q000302:isolation & purification; D002372:Cat-Scratch Disease / Q000097:blood / Q000175:diagnosis* / Q000276:immunology / Q000628:therapy; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004322:Drainage; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D006801:Humans; D009916:Orbital Diseases / Q000175:diagnosis*; D010019:Osteomyelitis / Q000175:diagnosis*; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial