title: Multifocal osteomyelitis due to Bartonella henselae in a child without focal pain.
abstract: 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.
authors.affiliation: 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
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Kodama
authors.forename: Nobuaki
authors.initials: N
authors.lastname: Maeno
authors.forename: Junichiro
authors.initials: J
authors.lastname: Nishi
authors.forename: Naoko
authors.initials: N
authors.lastname: Imuta
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Oda
authors.forename: Satoru
authors.initials: S
authors.lastname: Tanaka
authors.forename: Yukiharu
authors.initials: Y
authors.lastname: Kono
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Kawano
mesh_terms: 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