Osteomyelitis of the hip joint associated with systemic cat-scratch disease in an adult

Reported here is the case of a 29-year-old male with cervical lymphadenopathy, fever and weight loss, followed by acute painful osteomyelitis of the left hip joint due to cat-scratch disease. The diagnosis was established by detection of IgG antibodies to Bartonella henselae in serum and histologic...

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Bibliographic Details
Published in:European journal of clinical microbiology & infectious diseases 2000-10, Vol.19 (10), p.781-783
Main Authors: KRAUSE, R, WENISCH, C, FLADERER, P, DAXBÖCK, F, KREJS, G. J, REISINGER, E. C
Format: Article
Language:English
Subjects:
Adult
Antibodies
Bacterial diseases
Bartonella henselae
Bartonellosis
Biological and medical sciences
Biomedical materials
Bone imaging
Cat-Scratch Disease - complications
Cat-Scratch Disease - diagnostic imaging
Cefotiam
Clarithromycin
Diagnosis
Differential diagnosis
Fever
Hip
Hip Joint
Human bacterial diseases
Humans
Immunoglobulin G
Infectious diseases
Joints (anatomy)
Lymph nodes
Lymphadenitis
Lymphadenopathy
Magnetic resonance imaging
Male
Medical sciences
Osteomyelitis
Osteomyelitis - complications
Osteomyelitis - diagnostic imaging
Polymerase chain reaction
Radiography
Signs and symptoms
Tropical bacterial diseases
Weight loss
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Summary:Reported here is the case of a 29-year-old male with cervical lymphadenopathy, fever and weight loss, followed by acute painful osteomyelitis of the left hip joint due to cat-scratch disease. The diagnosis was established by detection of IgG antibodies to Bartonella henselae in serum and histologic examination of a lymph node including a positive polymerase chain reaction test. Treatment consisted of clarithromycin and cefotiam for 2 weeks. Four weeks after discharge, all of the patient's symptoms had completely resolved. Magnetic resonance imaging of the left hip joint showed marked regression of bone inflammation 4 months later and normalization after 8 months. Cat-scratch disease should be considered in the differential diagnosis of osteomyelitis in an adult, especially when lymphadenitis is present.
ISSN:0934-9723
1435-4373
DOI:10.1007/s100960000370