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Mathkour M, Chu J, Scullen T, Ibrahim N, Werner C, Carr C, Huang B, Abou-Al-Shaar H, Dallapiazza R, Maulucci C, Singh M. Atlantoaxial instability secondary to Bartonella henselae osteomyelitis managed surgically by atlantoaxial instrumentation: A case report and systematic review. JOURNAL OF CRANIOVERTEBRAL JUNCTION AND SPINE 2022; 13:224-232. [PMID: 36263337 PMCID: PMC9574113 DOI: 10.4103/jcvjs.jcvjs_206_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Accepted: 04/19/2021] [Indexed: 11/13/2022] Open
Abstract
Cat scratch disease (CSD), caused by Bartonella henselae, may atypically present with vertebral osteomyelitis. Antibiotic regimens are tailored to presentation, which is markedly variable and not well defined for any atypical disease. In cases of spinal instability, the use of antibiotics alone may not be sufficient. Atlantoaxial instability caused by osteomyelitis is a rare complication of CSD. In this report, we describe the rare case of vertebral osteomyelitis complicated by atlantoaxial instability, requiring both antibiotics and atlantoaxial fusion. We discuss our case, surgical technique, rationale, and outcome. In addition, we conducted a systematic review of the literature of vertebral osteomyelitis in pediatric secondary to B. henselae. A 2-year-old child presented with a 2-month history of irritability, fever, and rigid neck pain along with a recent history of feline exposure. Physical examination revealed cervical tenderness and decreased range of motion. Computed tomography (CT) showed osteolysis of the right C1 lateral mass and pars articularis; T1-weighted magnetic resonance imaging with contrast showed enhancement around the right C1 lateral mass. The titer for B. henselae was high. A diagnosis of cat scratch osteomyelitis with cervical instability was made, for which the patient underwent surgery with atlantoaxial fusion. Postoperative imaging demonstrated resolution of the contrast-enhanced lesion. At 6-year follow-up, the patient showed no signs of residual complications from surgical intervention with a solid fusion. Our review revealed 44 cases of pediatric CSD vertebral osteomyelitis. Conservative management with antibiotic employed in 86% while antibiotics with surgical intervention in 14% of the cases. Surgical intervention was most often in the form of incision for drainage and decompression without fusion. Average follow-up 10 months with 86% achieved complete resolution. Cervical instability caused by osteolysis is a rare complication of CSD. This can subsequently lead to vertebral instability, requiring definitive surgical intervention.
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Salmon-Rousseau A, Auvray C, Besset Q, Briandet C, Desplantes C, Chavanet P. Costal osteomyelitis due to Bartonella henselae in a 10-year-old girl. J Bone Jt Infect 2021; 6:171-178. [PMID: 34109101 PMCID: PMC8182667 DOI: 10.5194/jbji-6-171-2021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Accepted: 05/03/2021] [Indexed: 11/13/2022] Open
Abstract
Bartonella henselae
is the bacterial agent responsible for cat scratch
disease. This infection is frequently the cause of localized lymphadenitis in
children. It is also sometimes responsible for endocarditis, encephalitis, hepatic
peliosis and in rare cases osteomyelitis. We describe the second known case of unifocal thoracic
osteomyelitis in a
10-year-old child.
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Affiliation(s)
| | - Christelle Auvray
- Laboratory of Virology, François Mitterrand University Hospital, Dijon, France
| | - Quentin Besset
- Infectious Diseases Department, Dijon University Hospital, Dijon, France
| | - Claire Briandet
- Department of Pediatric Onco-Hematology, Dijon University Hospital, Dijon, France
| | - Claire Desplantes
- Department of Pediatric Onco-Hematology, Dijon University Hospital, Dijon, France
| | - Pascal Chavanet
- Infectious Diseases Department, Dijon University Hospital, Dijon, France
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3
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Erdem G, Watson JR, Hunt WG, Young C, Tomatis Souverbielle C, Honegger JR, Cassady KA, Ilgenfritz M, Napolitano S, Koranyi K. Clinical and Radiologic Manifestations of Bone Infection in Children with Cat Scratch Disease. J Pediatr 2018; 201:274-280.e12. [PMID: 30041935 DOI: 10.1016/j.jpeds.2018.05.033] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/25/2017] [Revised: 05/09/2018] [Accepted: 05/17/2018] [Indexed: 11/17/2022]
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.
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Affiliation(s)
- Guliz Erdem
- Pediatrics, Nationwide Children's Hospital, Columbus, OH; The Ohio State University College of Medicine, Columbus, OH.
| | - Joshua R Watson
- Pediatrics, Nationwide Children's Hospital, Columbus, OH; The Ohio State University College of Medicine, Columbus, OH
| | - W Garrett Hunt
- Pediatrics, Nationwide Children's Hospital, Columbus, OH; The Ohio State University College of Medicine, Columbus, OH
| | - Cody Young
- The Ohio State University College of Medicine, Columbus, OH; Radiology, Nationwide Children's Hospital, Columbus, OH
| | - Cristina Tomatis Souverbielle
- Pediatrics, Nationwide Children's Hospital, Columbus, OH; The Ohio State University College of Medicine, Columbus, OH
| | - Jonathan R Honegger
- Pediatrics, Nationwide Children's Hospital, Columbus, OH; The Ohio State University College of Medicine, Columbus, OH
| | - Kevin A Cassady
- Pediatrics, Nationwide Children's Hospital, Columbus, OH; The Ohio State University College of Medicine, Columbus, OH
| | - Megan Ilgenfritz
- Pediatrics, Nationwide Children's Hospital, Columbus, OH; The Ohio State University College of Medicine, Columbus, OH
| | - Stephanie Napolitano
- Pediatrics, Nationwide Children's Hospital, Columbus, OH; The Ohio State University College of Medicine, Columbus, OH
| | - Katalin Koranyi
- Pediatrics, Nationwide Children's Hospital, Columbus, OH; The Ohio State University College of Medicine, Columbus, OH
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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]
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5
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Mirouse G, Journe A, Casabianca L, Moreau PE, Pannier S, Glorion C. Bartonella henselae osteoarthritis of the upper cervical spine in a 14-year-old boy. Orthop Traumatol Surg Res 2015; 101:519-22. [PMID: 25881557 DOI: 10.1016/j.otsr.2015.02.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/13/2014] [Revised: 01/28/2015] [Accepted: 02/19/2015] [Indexed: 02/02/2023]
Abstract
We report a case of Bartonella henselae, an agent of cat scratch disease, C1-C2 osteoarthritis with osteolysis of the lateral mass of C2 in a 14-year-old boy. Oral antibiotics did not successfully treat the infection and surgery was necessary to treat the septic arthritis. The case opens discussion about bacterial osteoarthritis of the cervical spine and bone involvement in disseminated bartonellosis.
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Affiliation(s)
- G Mirouse
- Service d'orthopédie infantile, Hôpital Universitaire Necker-Enfants Malades, AP-HP, Faculté de médecine Paris Descartes, Université Sorbonne Paris Cité, 149, rue de Sèvres, 75015 Paris, France.
| | - A Journe
- Service d'orthopédie infantile, Hôpital Universitaire Necker-Enfants Malades, AP-HP, Faculté de médecine Paris Descartes, Université Sorbonne Paris Cité, 149, rue de Sèvres, 75015 Paris, France
| | - L Casabianca
- Service d'orthopédie infantile, Hôpital Universitaire Necker-Enfants Malades, AP-HP, Faculté de médecine Paris Descartes, Université Sorbonne Paris Cité, 149, rue de Sèvres, 75015 Paris, France
| | - P E Moreau
- Service d'orthopédie infantile, Hôpital Universitaire Necker-Enfants Malades, AP-HP, Faculté de médecine Paris Descartes, Université Sorbonne Paris Cité, 149, rue de Sèvres, 75015 Paris, France
| | - S Pannier
- Service d'orthopédie infantile, Hôpital Universitaire Necker-Enfants Malades, AP-HP, Faculté de médecine Paris Descartes, Université Sorbonne Paris Cité, 149, rue de Sèvres, 75015 Paris, France
| | - C Glorion
- Service d'orthopédie infantile, Hôpital Universitaire Necker-Enfants Malades, AP-HP, Faculté de médecine Paris Descartes, Université Sorbonne Paris Cité, 149, rue de Sèvres, 75015 Paris, France
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6
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Roubaud-Baudron C, Fortineau N, Goujard C, Le Bras P, Lambotte O. Maladie des griffes du chat avec localisations osseuses : une observation et revue de la littérature. Rev Med Interne 2009; 30:602-8. [DOI: 10.1016/j.revmed.2009.01.015] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2008] [Revised: 01/03/2009] [Accepted: 01/31/2009] [Indexed: 11/28/2022]
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7
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Lamas C, Curi A, Bóia MN, Lemos ERS. Human bartonellosis: seroepidemiological and clinical features with an emphasis on data from Brazil - A review. Mem Inst Oswaldo Cruz 2008; 103:221-35. [DOI: 10.1590/s0074-02762008000300001] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2007] [Accepted: 05/06/2008] [Indexed: 11/21/2022] Open
Affiliation(s)
- C Lamas
- Laboratório de Hantaviroses e Rickettsioses; Fiocruz, Brasil
| | | | | | - ERS Lemos
- Laboratório de Hantaviroses e Rickettsioses
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Hajjaji N, Hocqueloux L, Kerdraon R, Bret L. Bone infection in cat-scratch disease: A review of the literature. J Infect 2007; 54:417-21. [PMID: 17140668 DOI: 10.1016/j.jinf.2006.10.045] [Citation(s) in RCA: 56] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2006] [Accepted: 10/16/2006] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To describe the main features of bone infection associated with Cat-scratch disease (CSD). METHODS We searched for articles indexed in the international literature databases by using the following key words: "Bartonella", "bone", "cat-scratch", "osteomyelitis" and "osteolytic". RESULTS Cases of 47 patients were reviewed. The median age was 9 years, with an equal sex distribution. Bone pain and fever were the main symptoms. The presence of fever and increased age were more common in patients with bone infection than classically reported in uncomplicated (i.e. nodal) CSD. The vertebral column and pelvic girdle were the most common sites of infection. Radiological examination typically confirmed bone osteolysis. All patients recovered without complications or chronic infection, although they received a various combination antibiotic regimen and duration therapy. The mechanism by which infection might spread to the bone is via the haematogenous route, accounting for most of the disseminated cases and via the lymphatic route, for those with regional limited extension. CONCLUSIONS Bone infection is rare but should be considered when bone pain and fever are present in a patient with nodal CSD. The prognosis is good, whatever treatment is given. Thus bone biopsy should be recommended only in a difficult diagnostic setting, when other bacteria or malignant disease are suspected.
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Affiliation(s)
- Nawale Hajjaji
- Service des Maladies Infectieuses et Tropicales, Centre Hospitalier Régional-La Source, BP 86709, 45067 Orléans Cedex 2, France
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Vermeulen MJ, Rutten GJ, Verhagen I, Peeters MF, van Dijken PJ. Transient paresis associated with cat-scratch disease: case report and literature review of vertebral osteomyelitis caused by Bartonella henselae. Pediatr Infect Dis J 2006; 25:1177-81. [PMID: 17133166 DOI: 10.1097/01.inf.0000246807.14916.d3] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Cat-scratch disease (CSD) rarely presents as vertebral osteomyelitis. We describe a case with paresis of the arm with total recovery after antibiotic and neurosurgical therapy. We reviewed 20 other cases of CSD vertebral osteomyelitis in the literature. This diagnosis should be considered in patients with systemic symptoms, back pain, and cat contact. The prognosis is generally good.
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Affiliation(s)
- Marijn J Vermeulen
- Department of Pediatrics, St. Elisabeth Hospital, Tilburg, The Netherlands.
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10
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Losanoff JE, Sauter ER, Rider KD. Cat scratch disease presenting with abdominal pain and retroperitoneal lymphadenopathy. J Clin Gastroenterol 2004; 38:300-1. [PMID: 15128085 DOI: 10.1097/00004836-200403000-00024] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/09/2022]
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11
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Woestyn S, Moreau M, Munting E, Bigaignon G, Delmée M. Osteomyelitis caused by Bartonella henselae genotype I in an immunocompetent adult woman. J Clin Microbiol 2003; 41:3430-2. [PMID: 12843112 PMCID: PMC165354 DOI: 10.1128/jcm.41.7.3430-3432.2003] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
We report the first description of osteomyelitis due to Bartonella henselae genotype I in an immunocompetent middle-aged woman. The diagnosis was established by serology, histopathology, and PCR analysis of osseous and lymph node tissues. The mycobacteria growth indicator tube inoculated with the lymph node aspirate was used for PCR analysis.
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Affiliation(s)
- Sophie Woestyn
- Microbiology Unit, Faculty of Medicine, University of Louvain, Belgium.
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12
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Verdon R, Geffray L, Collet T, Huet H, Parienti JJ, Debruyne M, Vergnaud M, Bazin C. Vertebral osteomyelitis due to Bartonella henselae in adults: a report of 2 cases. Clin Infect Dis 2002; 35:e141-4. [PMID: 12471592 DOI: 10.1086/344791] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2002] [Revised: 08/13/2002] [Indexed: 11/03/2022] Open
Abstract
We describe 2 adult patients (1 of whom was infected with human immunodeficiency virus) with osteomyelitis due to Bartonella henselae. Diagnosis was established on the basis of direct identification of the microorganism in one case and seroconversion in the other. Both patients recovered completely within 3 months.
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Affiliation(s)
- Renaud Verdon
- Service de Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire Côte-de-Nacre, 14033 Caen Cedex, France.
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13
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Mehanna D, Peck N, Arnot R, Solano T, Sheldon D. Cat scratch disease presenting as splenic abscess. THE AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY 2000; 70:622-4. [PMID: 10945561 DOI: 10.1046/j.1440-1622.2000.01912.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- D Mehanna
- University of Sydney and Central Sydney Department of Upper Intestinal Surgery, Sydney, New South Wales, Australia
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Abstract
Members of the genus Bartonella (formerly Rochalimaea) were virtually unknown to modern-day clinicians and microbiologists until they were associated with opportunistic infections in AIDS patients about 6 years ago. Since that time, Bartonella species have been associated with cat scratch disease, bacillary angiomatosis, and a variety of other disease syndromes. Clinical presentation of infection with Bartonella ranges from a relatively mild lymphadenopathy with few other symptoms, seen in cat scratch disease, to life-threatening systemic disease in the immunocompromised patient. In some individuals, infection manifests as lesions that exhibit proliferation of endothelial cells and neovascularization, a pathogenic process unique to this genus of bacteria. As the spectrum of disease attributed to Bartonella is further defined, the need for reliable laboratory methods to diagnose infections caused by these unique organisms also increases. A brief summary of the clinical presentations associated with Bartonella infections is presented, and the current status of laboratory diagnosis and identification of these organisms is reviewed.
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Affiliation(s)
- B E Anderson
- Department of Medical Microbiology and Immunology, College of Medicine, University of South Florida, Tampa 33612, USA.
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Yamashita CA, Mielle A, Renko NS, Nascimento S, Gilio A, Pahl M, Ejzenberg B, Baldacci E, Okay Y. Parinaud syndrome caused by Bartonella henselae: case report. Rev Inst Med Trop Sao Paulo 1996; 38:437-40. [PMID: 9293091 DOI: 10.1590/s0036-46651996000600009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
The authors report a case of Parinaud syndrome (conjunctivitis with pre-auricular satellite adenitis) caused by Bartonella henselae, the etiologic agent of Cat Scratch Disease. The etiologic assessment of this case was performed by serum indirect immunofluorescence reaction and allowed for a better therapeutics and follow up, avoiding ineffective antibiotics and surgical interventions.
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Affiliation(s)
- C A Yamashita
- University Hospital, Pediatric Department, School of Medicine, University of São Paulo
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