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Miscellanea
Images in paediatrics
Femoral bone lesions accompanying cat-scratch disease
  1. Yoshihiro Aoki1,2,
  2. Katsuhiko Kitazawa1,
  3. Daisuke Sugawara1
  1. 1 Department of Pediatrics, Asahi General Hospital, Chiba, Japan
  2. 2 Department of Intensive Care Medicine, Osaka Women’s and Children’s Hospital, Osaka, Japan
  1. Correspondence to Dr Yoshihiro Aoki, Department of Pediatrics, Asahi General Hospital, Asahi-shi 289-2511, Japan; yaoki-hki{at}umin.ac.jp

https://doi.org/10.1136/archdischild-2018-314877

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    Cat-scratch disease (CSD) is a zoonotic infection caused by Bartonella henselae that usually results in lymphadenopathy.1 Although uncommon, CSD can also present as bone lesions.2

    A 2-year-old girl was hospitalised for a fever of an unknown cause for >10 days. Physical examination revealed non-tender bilateral cervical lymphadenopathy. Tosufloxacin was administered. On the 12th day of hospitalisation, her fever resolved, but her mother noticed the child’s unusual gait. MRI revealed multiple small …

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    Footnotes

    • Contributors YA managed the patient, drafted the initial manuscript and approved the final manuscript prior to submission. KK critically reviewed and revised the manuscript and approved the final manuscript prior to submission. DS managed the patient reviewed and revised the manuscript and approved the final manuscript prior to submission.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.

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