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Case Reports in Pediatrics
Volume 2018 (2018), Article ID 2750275, 3 pages
https://doi.org/10.1155/2018/2750275
Case Report

An Atypical Case of Bartonella henselae Osteomyelitis and Hepatic Disease

1Our Lady of the Lake Children’s Hospital, Baton Rouge, LA, USA
2Division of Academic Affairs, Our Lady of the Lake Regional Medical Center, Baton Rouge, LA, USA
3Pediatric Hematology/Oncology, Our Lady of the Lake Children’s Hospital/St. Jude Affiliate Baton Rouge, Baton Rouge, LA, USA
4Pediatric Infectious Diseases, Our Lady of the Lake Children’s Hospital, Baton Rouge, LA, USA

Correspondence should be addressed to Michael T. Bolton; gro.shlomf@notlob.leahcim

Received 19 October 2017; Revised 3 March 2018; Accepted 22 March 2018; Published 5 April 2018

Academic Editor: Albert M. Li

Copyright © 2018 Dionna M. Mathews et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Bartonella henselae is a Gram-negative bacterium and the causative agent of cat scratch disease (CSD). Atypical presentations of B. henselae that involve the musculoskeletal, hepatosplenic, cardiac, or neurologic systems are rare. In this case report, we describe a case of B. henselae osteomyelitis involving bilateral iliac bones complicated by hepatic lesions in a 12-year-old immunocompetent female patient. Although B. henselae is a rare cause of osteomyelitis, it should be considered when patients who present with fever, pain, and lymphadenopathy do not respond to routine osteomyelitis therapy.