Case Report
Osteomyelitis in Cat-Scratch Disease: A Never-Ending Dilemma—A Case Report and Literature Review
Table 1
Pediatric cases of osteomyelitis related to Bartonella henselae infection.
| | Cases of osteomyelitis | |
| | Epidemiology | | | Age (years) | 7.8 (±3.8) | | M : F | 1 : 1 | | Contact with cats | 91.8% | | Clinical presentation | | | Fever | 84.3% | | Fever (lasting >2 weeks) | 64.7% | | Lymphadenopathy | 64.7% | | Cervical | 45.5% | | Axillary | 15.6% | | Inguinal | 12.1% | | Osteoarticular pain | 88.2% | | Functional impairment | 40% | | Swelling | 37.3% | | Systemic signs | 34.7% | | Site of osteomyelitis | | | Vertebral bodies | 51% | | Limbs | 32.7% | | Skull | 19% | | Unifocal | 73.1% | | Multifocal | 26.9% | | Imaging | | | X-ray | 50% | | MRI | 50% | | CT | 46.2% | | Scintigraphy | 48.1% | | Diagnosis | | | Serology | 78.4% | | PCR | 27.5% | | Biopsy | 29.4% | | Treatment | | | Medical | 66% | | Macrolides | 46.2% | | Rifampicin | 33.3% | | Beta-lactams | 30.8% | | TMP-SMX | 23.1% | | Aminoglycosides | 23.1% | | Median duration | 23 days | | Surgery | 20.8% | | None | 12.5% | | Outcome | | | Rapid resolution (<2 weeks) | 43% | | Prolonged symptoms | 57.5% | | Incomplete recovery | 7.7% |
|
|
Abdominal pain, fatigue, night sweat, and weight loss. |
