Cat-scratch disease and bone scintigraphy.
Cat-scratch disease is a bacterial infection caused by Bartonella henselae. Bone involvement is rare. We describe the case of a 7-year-old boy with a systemic form of the disease. He presented with a 15-day history of fever, altered general condition, weight loss and cough, associated with back pain, and right-sided coxalgia. Bone scintigraphy with Tc-99m hydroxymethylene diphosphonate showed spinal involvement, the iliac crest, the right ankle, and the right first metatarsal. Magnetic resonance imaging confirmed these locations. He was positive for anti-Bartonella henselae. The fever regressed before treatment with rifampicin began, and he made a full recovery.
Nuclear Medicine Department, AP-HP, A Trousseau Children Hospital, Paris, France.
Nadia
N
Ismaili-Alaoui
Valerie
V
Vuong
M
M
Marcu-Marin
Aline
A
Sergent-Alaoui
Bertrand
B
Chevallier
Claire
C
de Labriolle-Vaylet
D000818:Animals; D001842:Bone and Bones / Q000000981:diagnostic imaging*; D002372:Cat-Scratch Disease / Q000000981:diagnostic imaging*; D002415:Cats; D002648:Child; D005682:Gadolinium / Q000008:administration & dosage; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011877:Radionuclide Imaging; D013669:Technetium Tc 99m Medronate / Q000031:analogs & derivatives; D014916:Whole-Body Irradiation
C024226:technetium Tc 99m hydroxymethylene diphosphonate; D005682:Gadolinium; D013669:Technetium Tc 99m Medronate