1
|
Wang J, Chen W, Wang M, Mi Q, Bo L, Yuan C, Cao Q. Cat Scratch Disease with Generalized Bone Lesions in an Immunocompetent Child. Emerg Microbes Infect 2022; 11:2433-2436. [PMID: 36154565 PMCID: PMC9621248 DOI: 10.1080/22221751.2022.2127378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
A 9-year-old immunocompetent girl with prolonged fever for 1 month was suspected of having a malignancy because of generalized bone abnormalities identified by MRI. Histopathology of liver tissues indicated the diagnosis of cat-scratch disease (CSD). Results of NGS, immunofluorescence and immunochemical assay confirmed the causative agent was Bartonella henselae. Paediatricians should increase their awareness of CSD as a cause for bone lesions, except for malignancy.
Collapse
Affiliation(s)
- Jing Wang
- Department of Infectious Diseases, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiaotong University
| | - Wenjuan Chen
- Department of Infectious Diseases, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiaotong University
| | - Meng Wang
- School of Agriculture and Biology, Shanghai Jiaotong University
| | - Qiang Mi
- Department of Hematology Oncology, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiaotong University
| | - Lijun Bo
- Department of Infectious Diseases, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiaotong University
| | - Congli Yuan
- School of Agriculture and Biology, Shanghai Jiaotong University.,Shanghai Key Laboratory of Veterinary Biotechnology, Shanghai, China
| | - Qing Cao
- Department of Infectious Diseases, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiaotong University
| |
Collapse
|
2
|
Razafindrazaka H, Redl S, Aouchiche F, Grosleron S, Nazal-Traissac EM, Rispal P, Imbert Y. [Bone involvement in cat scratch disease]. Rev Med Interne 2021; 42:875-880. [PMID: 34215457 DOI: 10.1016/j.revmed.2021.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Revised: 06/01/2021] [Accepted: 06/15/2021] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Cat scratch disease caused by Bartonella henselae with bone involvement is a rare presentation. CASE REPORT We report a case of disseminated bartonellosis with multifocal osteomyelitis and multiple visceral involvement in an immunocompetent adult. Diagnostic confirmation was obtained by PCR on lymphadenopathy. In addition to our observation, 31 cases of bartonellosis with bone involvement were reported in the literature. Diagnosis is based on a combination of history, serology and PCR performed on tissue. The antibiotic treatment allows recovery in all cases. CONCLUSION Cat scratch disease in its systemic form with bone involvement is a rare and difficult diagnosis for the clinician and an invasive approach is often required to obtain the diagnosis.
Collapse
Affiliation(s)
- H Razafindrazaka
- Service de médecine interne, CH Agen-Nérac, 47000, Agen, France.
| | - S Redl
- Service de médecine interne, CH Agen-Nérac, 47000, Agen, France
| | - F Aouchiche
- Service de médecine interne, CH Agen-Nérac, 47000, Agen, France
| | - S Grosleron
- Service de médecine interne, CH Agen-Nérac, 47000, Agen, France
| | | | - P Rispal
- Service de médecine interne, CH Agen-Nérac, 47000, Agen, France
| | - Y Imbert
- Service de médecine interne, CH Agen-Nérac, 47000, Agen, France
| |
Collapse
|
3
|
Lemos AP, Domingues R, Gouveia C, de Sousa R, Brito MJ. Atypical bartonellosis in children: What do we know? J Paediatr Child Health 2021; 57:653-658. [PMID: 33301212 DOI: 10.1111/jpc.15304] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Revised: 11/16/2020] [Accepted: 11/17/2020] [Indexed: 11/29/2022]
Abstract
AIM To characterise Bartonella infections in a paediatric population requiring hospital admission and review its treatment. METHODS Longitudinal observational retrospective data analysis of children and adolescents admitted with Bartonella infection at a paediatric tertiary hospital from 2010 to 2019. RESULTS We identified 16 cases of bartonellosis, with a mean age of 8.0 ± 4.5 years old, no sex predominance and 14 had contact with cats. Most of the cases occurred in fall and winter. Clinical presentations included osteomyelitis/arthritis (n = 9), hepatosplenic disease (n = 2), lymphadenitis (n = 2), neuroretinitis (n = 2) and encephalitis (n = 1). Clinical diagnosis was confirmed by serology (n = 16) and Bartonella DNA detection in patient's lymph nodes/hepatic lesion (n = 3). Therapeutic approach varied according to the clinical presentation: azithromycin in lymphadenitis, rifampicin plus ciprofloxacin in hepatosplenic disease, rifampicin and doxycycline in neuroretinitis, ceftriaxone in encephalitis and azithromycin, cotrimoxazole or rifampicin plus azithromycin, cefuroxime, ciprofloxacin or doxycycline in osteomyelitis/arthritis. Immunodeficiency was excluded in seven patients. Seven patients' cats were screened by veterinarians and treated when infected (n = 5). CONCLUSIONS In these clinical presentations, where other infections may be involved, a high index of suspicion is necessary, with emphasis on the epidemiological context. The association of systemic forms with immunodeficiency did not occur in our study. The lack of recommendations for treatment of atypical infection makes the approach of these cases a challenge. Randomised control studies are essential to define the best approach in each case.
Collapse
Affiliation(s)
- Ana P Lemos
- Department of Infectious Diseases, Hospital Dona Estefânia, Lisbon, Portugal
| | - Rui Domingues
- Department of Infectious Diseases, Hospital Dona Estefânia, Lisbon, Portugal
| | - Catarina Gouveia
- Department of Infectious Diseases, Hospital Dona Estefânia, Lisbon, Portugal
| | - Rita de Sousa
- Centre of Study of Vectors and Infectious Diseases, National Institute of Health Dr. Ricardo Jorge, Lisbon, Portugal
| | - Maria J Brito
- Department of Infectious Diseases, Hospital Dona Estefânia, Lisbon, Portugal
| |
Collapse
|
4
|
Razafindrazaka H, Red S, Aouchiche F, Grosleron S, Nazal-Traissac E, Rispal P, Imbert Y. Atteinte osseuse dans la maladie des griffes du chat : une première observation multisystémique chez l’adulte avec revue de la littérature. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
5
|
Lafenetre M, Herbigneaux R, Michoud M, Descours G, Debillon T. À propos d’un cas d’ostéomyélite de la maladie des griffes du chat. Arch Pediatr 2016; 23:188-91. [DOI: 10.1016/j.arcped.2015.11.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2015] [Revised: 08/05/2015] [Accepted: 11/16/2015] [Indexed: 11/29/2022]
|
6
|
Atypical Cat-Scratch Disease in Children: Report of Seven Presentations Ranging From Hepatosplenic Disease to Horner Syndrome. ARCHIVES OF PEDIATRIC INFECTIOUS DISEASES 2016. [DOI: 10.5812/pedinfect.28272] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
7
|
|
8
|
Grossi O, Denoyel GA, Redon H, Caignon JM, Généreau T, de Faucal P. Challenges in the diagnosis of culture negative vertebral osteomyelitis in adults: Case of Bartonella henselae infection. Joint Bone Spine 2013; 80:671-3. [DOI: 10.1016/j.jbspin.2013.02.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2012] [Accepted: 02/28/2013] [Indexed: 10/26/2022]
|
9
|
Abstract
Cat-scratch disease is a bacterial infection caused by Bartonella henselae. Bone involvement is rare. We describe the case of a 7-year-old boy with a systemic form of the disease. He presented with a 15-day history of fever, altered general condition, weight loss and cough, associated with back pain, and right-sided coxalgia. Bone scintigraphy with Tc-99m hydroxymethylene diphosphonate showed spinal involvement, the iliac crest, the right ankle, and the right first metatarsal. Magnetic resonance imaging confirmed these locations. He was positive for anti-Bartonella henselae. The fever regressed before treatment with rifampicin began, and he made a full recovery.
Collapse
|
10
|
Graveleau J, Grossi O, Lefebvre M, Redon H, Caignon JM, Pallardy A, Bodet-Milin C, Néel A, Hamidou MA. Vertebral osteomyelitis: an unusual presentation of Bartonella henselae infection. Semin Arthritis Rheum 2011; 41:511-6. [PMID: 21840042 DOI: 10.1016/j.semarthrit.2011.04.011] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2011] [Revised: 04/24/2011] [Accepted: 04/26/2011] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To report cases of cat scratch disease with vertebral osteomyelitis. METHODS We describe clinical features, diagnostic, treatment, and outcome of 2 patients with vertebral osteomyelitis due to Bartonella henselae and provide a review of the relevant literature. RESULTS A 47-year-old man was investigated for fever, splenomegaly, and cervical adenopathy. A lymphoma was suspected on the clinical picture, the laboratory tests, and the computed tomographic scan. [(18)F]-fluoro-2-deoxy-d-glucose-positron emission tomography detected splenic nodules and a hypermetabolic focus of C7 vertebral body compatible with a vertebral osteomyelitis on magnetic resonance imaging. B henselae infection was confirmed by polymerase chain reaction performed on lymph node biopsy. A 34-year-old woman was investigated for fever and right upper quadrant abdominal pain. She had consulted 2 weeks before for a unique lesion of right index and an axillar adenopathy that have improved spontaneously. A technetium bone scan performed 1 week later because of a thoracic backache demonstrated an increased uptake of the T6 vertebra. Vertebral magnetic resonance imaging was compatible with a T6 osteomyelitis. B henselae infection was confirmed by serology (seroconversion). Both patients were treated with rifampin and doxycycline and recovered within 3 months. CONCLUSIONS B henselae vertebral osteomyelitis can involve immunocompetent adults. In the case of vertebral osteomyelitis with negative blood cultures, recent history of local lymphadenopathy and cat exposure must be investigated and B henselae serology must be performed. Nevertheless, even if serology is positive, vertebral biopsy is required to rule out other pathogens or malignancy. B henselae infection can be confirmed by polymerase chain reaction performed on vertebral or lymph node biopsy.
Collapse
Affiliation(s)
- Julie Graveleau
- Service de Médecine Interne, Centre Hospitalier Universitaire Hôtel Dieu, Nantes, France
| | | | | | | | | | | | | | | | | |
Collapse
|
11
|
Zekraoui Y, Megzari A, El Alloussi T, Berraho A. Neurorétinite unilatérale révélant une maladie des griffes du chat. Rev Med Interne 2011; 32:e46-8. [DOI: 10.1016/j.revmed.2010.02.016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2009] [Revised: 01/31/2010] [Accepted: 02/28/2010] [Indexed: 11/24/2022]
|
12
|
Medici Olaso C, García Gariglio L, Ferreira García M, Giachetto Larraz G, Gutierrez Bottino M, Pírez García M. Enfermedad por arañazo de gato: características clínicas en niños hospitalizados. An Pediatr (Barc) 2011; 74:42-6. [DOI: 10.1016/j.anpedi.2010.08.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2010] [Revised: 08/25/2010] [Accepted: 08/26/2010] [Indexed: 11/29/2022] Open
|
13
|
Khoudri I, Frémont G, Flageul B, Brière J, Dubertret L, Viguier M. [Bilateral inguinal lymphadenopathy and erythema nodosum: an uncommon presentation of cat scratch disease]. Rev Med Interne 2010; 32:e34-6. [PMID: 20646798 DOI: 10.1016/j.revmed.2009.11.023] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2009] [Revised: 09/14/2009] [Accepted: 11/25/2009] [Indexed: 10/19/2022]
Abstract
Cat scratch disease is usually revealed by a proximal lymphadenopathy related to the inoculation site. We report a 22-year-old female who presented with erythema nodosum and bilateral inguinal lymphadenopathy. Serologic test and lymph node PCR detection for Bartonella henselae were negative. Nevertheless, the patient received doxycycline and clinical manifestations rapidly resolved. A follow-up detection of IgM and IgG against Bartonella henselae performed 1 month later was positive. This case report illustrates an original presentation of cat scratch disease and reminds us the lack of sensitivity of laboratory investigations.
Collapse
Affiliation(s)
- I Khoudri
- Service de dermatologie, université Paris-VII Denis-Diderot, hôpital Saint-Louis, Assistance publique-Hôpitaux de Paris, 1 avenue Claude-Vellefaux, Paris cedex 10, France
| | | | | | | | | | | |
Collapse
|