Cat scratch disease with epidural extension while on antimicrobial treatment.
We report the first case of a child with an epidural abscess caused by Bartonella henselae. This case is unique in that the diagnosis was confirmed by polymerase chain reaction (PCR) of the abscess fluid. A 3-year-old male was admitted with a 1-week history of fever and lower back pain. Magnetic resonance imaging (MRI) of the lumbar spine revealed a paraspinal soft tissue abnormality extending from the T(12) to the L(4) level, and a computed tomography (CT) scan of the lumbar spine showed osteomyelitis at the T(12) level with soft tissue changes. B. henselae serology showed an IgG titer of 1:256 and IgM of <1:16.
Hussain
Sabiha
S
Pediatric Infectious Diseases and Immunology, University of Florida, USA.
Rathore
Mobeen H
MH
D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000188:drug therapy*; D002675:Child, Preschool; D018450:Disease Progression; D004322:Drainage; D004359:Drug Therapy, Combination; D020802:Epidural Abscess / Q000175:diagnosis* / Q000188:drug therapy*; D006801:Humans; D007262:Infusions, Intravenous; D008159:Lumbar Vertebrae / Q000473:pathology; D008297:Male; D010019:Osteomyelitis / Q000175:diagnosis* / Q000188:drug therapy; D013904:Thoracic Vertebrae / Q000473:pathology; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents