title: [Osteomyelitis in cat scratch disease: a case report and literature review].
abstract: Cat scratch disease is the most common zoonosis in humans and its typical expression is a persistent benign regional adenopathy. In some rare cases, mono- or multifocal osteomyelitis is described. In this paper, we report the case of bone lesions in a 13-year-old girl infected with cat scratch disease. We have also undertaken a literature review and analyzed 60 other such cases. The manifestation of a bone lesion associated with cat scratch disease was characterized by a mono- or multifocal infectious osteomyelitis, fever, and a general alteration of the patient's health. The most frequent location of osteomyelitis was in the spine. Magnetic resonance imaging appeared the most sensitive test to highlight the bone lesions. Serological findings help reinforce the diagnosis of cat scratch disease caused by Bartonella henselae infection. Osteomyelitis in cat scratch disease is rare but not exceptional. Therefore, it is essential to think about this hypothesis in case of osteomyelitis associated with a general alteration of the patient's health, especially if the lesions are multifocal and if there is a known history of cat contact.
authors.affiliation: Service de pédiatrie générale et rhumatologie pédiatrique, CHU de Bicêtre, 8, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France.
authors.forename: P
authors.initials: P
authors.lastname: Dusser
authors.forename: S
authors.initials: S
authors.lastname: Eyssette-Guerreau
authors.forename: I
authors.initials: I
authors.lastname: Koné-Paut
mesh_terms: D000293:Adolescent; D018416:Bartonella henselae / Q000302:isolation & purification; D002372:Cat-Scratch Disease / Q000150:complications*; D005260:Female; D005270:Femur Head / Q000473:pathology; D005272:Femur Neck / Q000473:pathology; D006801:Humans; D006811:Humerus / Q000473:pathology; D008107:Liver Diseases / Q000382:microbiology; D008279:Magnetic Resonance Imaging / Q000379:methods; D010019:Osteomyelitis / Q000175:diagnosis / Q000209:etiology*; D012447:Sacrum / Q000473:pathology; D013122:Spinal Diseases / Q000175:diagnosis / Q000209:etiology; D013158:Splenic Diseases / Q000382:microbiology; D013977:Tibia / Q000473:pathology