Bartonella henselae vertebral osteomyelitis: report of a case

Abstract: Cat scratch disease (CSD) is caused by Bartonella henselae, with unknown prevalence and incidence in the Chilean paediatric population. Regional lymphadenopathy is the most common presentation, while atypical forms constitute a diagnostic challenge. Objective: To report a case of CSD with...

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Autores principales:	Zepeda T,Juan, Morales S,Jorge, Letelier A,Hugo, Delpiano M,Luis
Lenguaje:	English
Publicado:	Sociedad Chilena de Pediatría 2016
Materias:	Bartonella henselae Prolonged fever Osteomyelitis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0370-41062016000100010
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spelling	oai:scielo:S0370-410620160001000102016-04-14Bartonella henselae vertebral osteomyelitis: report of a caseZepeda T,JuanMorales S,JorgeLetelier A,HugoDelpiano M,Luis Bartonella henselae Prolonged fever Osteomyelitis Abstract: Cat scratch disease (CSD) is caused by Bartonella henselae, with unknown prevalence and incidence in the Chilean paediatric population. Regional lymphadenopathy is the most common presentation, while atypical forms constitute a diagnostic challenge. Objective: To report a case of CSD with osteomyelitis and present guidelines regarding treatment. Clinical case: An eight year-old patient, with prolonged febrile illness, back pain and neck stiffness. Laboratory studies highlight positive IgG for Bartonella henselae. The abdominal ultrasound showed splenic micro-abscesses, and the MRI showing vertebral lesions suggestive of osteomyelitis. Discussion: The diagnosis of atypical forms requires a high rate of suspicion, as in this case, in which the patient manifested the musculoskeletal symptoms simultaneously with the febrile syndrome, which led us to study possible complications of the disease. Current knowledge of the treatment of atypical or complicated CSD is derived from the observation of case studies, rather than randomized trials. It is suggested that antibiotic therapy is analysed individually, with the help of a specialist. Conclusion: The importance of high clinical suspicion are emphasised and discussed, as well presenting some treatment options based on the evidence from the current literature.info:eu-repo/semantics/openAccessSociedad Chilena de PediatríaRevista chilena de pediatría v.87 n.1 20162016-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0370-41062016000100010en10.1016/j.rchipe.2015.08.004
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Bartonella henselae Prolonged fever Osteomyelitis
spellingShingle	Bartonella henselae Prolonged fever Osteomyelitis Zepeda T,Juan Morales S,Jorge Letelier A,Hugo Delpiano M,Luis Bartonella henselae vertebral osteomyelitis: report of a case
description	Abstract: Cat scratch disease (CSD) is caused by Bartonella henselae, with unknown prevalence and incidence in the Chilean paediatric population. Regional lymphadenopathy is the most common presentation, while atypical forms constitute a diagnostic challenge. Objective: To report a case of CSD with osteomyelitis and present guidelines regarding treatment. Clinical case: An eight year-old patient, with prolonged febrile illness, back pain and neck stiffness. Laboratory studies highlight positive IgG for Bartonella henselae. The abdominal ultrasound showed splenic micro-abscesses, and the MRI showing vertebral lesions suggestive of osteomyelitis. Discussion: The diagnosis of atypical forms requires a high rate of suspicion, as in this case, in which the patient manifested the musculoskeletal symptoms simultaneously with the febrile syndrome, which led us to study possible complications of the disease. Current knowledge of the treatment of atypical or complicated CSD is derived from the observation of case studies, rather than randomized trials. It is suggested that antibiotic therapy is analysed individually, with the help of a specialist. Conclusion: The importance of high clinical suspicion are emphasised and discussed, as well presenting some treatment options based on the evidence from the current literature.
author	Zepeda T,Juan Morales S,Jorge Letelier A,Hugo Delpiano M,Luis
author_facet	Zepeda T,Juan Morales S,Jorge Letelier A,Hugo Delpiano M,Luis
author_sort	Zepeda T,Juan
title	Bartonella henselae vertebral osteomyelitis: report of a case
title_short	Bartonella henselae vertebral osteomyelitis: report of a case
title_full	Bartonella henselae vertebral osteomyelitis: report of a case
title_fullStr	Bartonella henselae vertebral osteomyelitis: report of a case
title_full_unstemmed	Bartonella henselae vertebral osteomyelitis: report of a case
title_sort	bartonella henselae vertebral osteomyelitis: report of a case
publisher	Sociedad Chilena de Pediatría
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0370-41062016000100010
work_keys_str_mv	AT zepedatjuan bartonellahenselaevertebralosteomyelitisreportofacase AT moralessjorge bartonellahenselaevertebralosteomyelitisreportofacase AT letelierahugo bartonellahenselaevertebralosteomyelitisreportofacase AT delpianomluis bartonellahenselaevertebralosteomyelitisreportofacase
_version_	1718439159308222464

Bartonella henselae vertebral osteomyelitis: report of a case

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