1998•Journal of Bone and Joint Surgery - British VolumeRequires access

Cat-scratch disease osteomyelitis from a dog scratch

David Keret, Michael Giladi, Y. Kletter, Shlomo Wientroub

Abstract

Osteomyelitis is a rare manifestation of cat-scratch disease in patients who do not have AIDS. The clinical presentation and non-specific subacute course of the disease make diagnosis difficult. We present a child with osteomyelitis of a metacarpal following a dog scratch. Bartonella henselae was found to be the aetiological agent. The bone healed after treatment with antibiotics. Increased awareness and a comprehensive medical history are needed to identify patients with suspected Bartonella henselae osteomyelitis.

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Key concepts: Bartonella henselae, Cat-scratch disease, Bartonella, Osteomyelitis, Medicine, Disease, Etiology, Dermatology