Multifocal osteomyelitis due to Bartonella henselae in a child without focal pain.
We describe a case of an 11-year-old girl who presented with osteomyelitis of the vertebrae and right femur due to Bartonella henselae. Her only symptom was prolonged fever without focal pain. Magnetic resonance imaging (MRI) and nested polymerase chain reaction (PCR) were useful for the diagnosis. Osteomyelitis due to B. henselae should be considered in cases of prolonged fever of unknown origin.
Kodama
Yuichi
Y
Department of Pediatrics, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan. yuichik@m.kufm.kagoshima-u.ac.jp
Maeno
Nobuaki
N
Nishi
Junichiro
J
Imuta
Naoko
N
Oda
Hiroshi
H
Tanaka
Satoru
S
Kono
Yukiharu
Y
Kawano
Yoshifumi
Y
D018416:Bartonella henselae / Q000302:isolation & purification*; D002372:Cat-Scratch Disease / Q000175:diagnosis*; D002648:Child; D005260:Female; D005334:Fever / Q000382:microbiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D010019:Osteomyelitis / Q000382:microbiology*; D010146:Pain / Q000382:microbiology; D016133:Polymerase Chain Reaction / Q000379:methods; D012699:Serology