[Cat scratch disease with bone involvement: a case report and literature review].
BACKGROUND
Cat scratch disease is an infectious disease caused by Bartonella henselae. Most of the patients present with a lymphadenopathy associated with a local infection at the site of the cat scratch. Disseminated infection is uncommon.


METHODS
We report an immunocompetent 61-year-old woman who presented with a systemic cat scratch disease including a multifocal osteomyelitis. Diagnosis was confirmed by PCR on the adenopathy. A literature review identified 51 other cases of osteomyelitis associated with cat scratch disease, 14 of those confirmed by PCR.


CONCLUSIONS
Bone involvement in cat scratch disease is rare, especially in adults. The diagnosis should be suspected on the basis of patient questioning. The antibiotherapy and the place of surgery are discussed.
Roubaud-Baudron
C
C
Service de médecine interne, CHU de Bicêtre, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France.
Fortineau
N
N
Goujard
C
C
Le Bras
P
P
Lambotte
O
O
D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D018416:Bartonella henselae / Q000235:genetics / Q000302:isolation & purification; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000188:drug therapy; D002415:Cats; D004269:DNA, Bacterial / Q000302:isolation & purification; D005260:Female; D006801:Humans; D007121:Immunocompetence; D008875:Middle Aged; D010019:Osteomyelitis / Q000382:microbiology* / Q000628:therapy
D000900:Anti-Bacterial Agents; D004269:DNA, Bacterial