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Osteomyelitis of the Hip Joint Associated with Systemic Cat-Scratch Disease in an Adult

  • R. Krause
  • C. Wenisch
  • P. Fladerer
  • F. Daxböck
  • G. J. Krejs
  • E. C. Reisinger
Note

Abstract

 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.

Keywords

Magnetic Resonance Imaging Polymerase Chain Reaction Osteomyelitis Clarithromycin Reaction Test 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2000

Authors and Affiliations

  • R. Krause
    • 1
  • C. Wenisch
    • 1
  • P. Fladerer
    • 1
  • F. Daxböck
    • 1
  • G. J. Krejs
    • 1
  • E. C. Reisinger
    • 2
  1. 1.Division of Infectious Diseases, Department of Internal Medicine, Karl-Franzens University, Auenbruggerplatz 15, 8036 Graz, Austria e-mail: robert.krause@kfunigraz.ac.at Tel.: +43-316-3853150 Fax: +43-316-3853062AT
  2. 2.Department of Medicine, Tropical Medicine and Infectious Diseases, University of Rostock, Rostock, GermanyDE

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