Clinical and Radiologic Manifestations of Bone Infection in Children with Cat Scratch Disease

Guliz Erdem, Joshua R. Watson, W. Garrett Hunt, Cody Young, Cristina Tomatis Souverbielle, Jonathan R. Honegger, Kevin A. Cassady, Megan Ilgenfritz, Stephanie Napolitano, Katalin Koranyi

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Abstract

We identified 13 patients with cat scratch (Bartonella henselae) bone infection among those admitted to a large tertiary care children's hospital over a 12-year period. The median age was 7 years and the median time from onset of illness to diagnosis was 10 days. Multifocal osteomyelitis involving spine and pelvis was common; no patient had a lytic bone lesion. Median treatment duration was 28 days (IQR, 24.5 days). Despite significant variations in treatment duration and antimicrobial therapy choices, all patients showed improvement.

Original languageEnglish (US)
Pages (from-to)274-280.e12
JournalJournal of Pediatrics
Volume201
DOIs
StatePublished - Oct 2018

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

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    Erdem, G., Watson, J. R., Hunt, W. G., Young, C., Tomatis Souverbielle, C., Honegger, J. R., Cassady, K. A., Ilgenfritz, M., Napolitano, S., & Koranyi, K. (2018). Clinical and Radiologic Manifestations of Bone Infection in Children with Cat Scratch Disease. Journal of Pediatrics, 201, 274-280.e12. https://doi.org/10.1016/j.jpeds.2018.05.033