Disseminated cat scratch disease with vertebral osteomyelitis and epidural abscess.
A 5-year-old boy with cat scratch disease presented with fever of unknown origin and osteomyelitis of the thoracic spine and epidural abscess. He did not have localizing signs or symptoms. Computed tomography of the abdomen, which was initially negative, showed hepatosplenic disease. Cat scratch disease has variable systemic presentations and should be included in the differential diagnosis of fever of unknown origin if an epidemiologic risk factor is present.
Abdel-Haq
Nahed
N
Children's Hospital of Michigan, 3901 Beaubien Blvd., Detroit, MI 48201, USA. nabdel@dmc.org
Abuhammour
Walid
W
Al-Tatari
Hossam
H
Asmar
Basim
B
D000818:Animals; D018416:Bartonella henselae; D002372:Cat-Scratch Disease / Q000175:diagnosis*; D002415:Cats; D002675:Child, Preschool; D020802:Epidural Abscess / Q000382:microbiology*; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000382:microbiology*; D013122:Spinal Diseases / Q000382:microbiology*; D013904:Thoracic Vertebrae