[Cat-scratch disease with bone compromise: atypical manifestation].
Fever, headache, myalgias and lymphadenopathy are characteristic manifestations of cat-scratch disease but other less common findings are described in 2 to 10% of cases. We report two children that presented with hepatosplenic abscesses and bone involvement. One child, had multiple areas of increased uptake in the bone scintigram with a positive serology (IgG > 1/256, IgM slightly positive). The second child had destruction of the L2 vertebral body that compromised the channel and right foramen as visualized by MRI. In both cases, bacilli were observed in the bone biopsy by Warthing-Starry stain.
Instituto de Pediatría, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay.
Magdalena
M
Rodríguez C
Gustavo
G
Giachetto L
Alejandro
A
Cuneo E
María del C
Mdel C
Gutiérrez B
Mario
M
Shimchack R
M Catalina
MC
Pírez G
D000293:Adolescent; D018416:Bartonella henselae / Q000302:isolation & purification*; D001850:Bone Diseases, Infectious / Q000175:diagnosis / Q000209:etiology*; D002372:Cat-Scratch Disease / Q000150:complications* / Q000175:diagnosis; D002648:Child; D005260:Female; D006801:Humans; D008297:Male