Skeletal Radiology

, Volume 26, Issue 7, pp 431–433 | Cite as

Sternal abscess due to Bartonella (Rochalimaea) henselae in a renal transplant patient

  • Frédéric Bruckert
  • Eric de Kerviler
  • Anne-Marie Zagdanski
  • Jean-Michel Molina
  • Isabelle Casin
  • A. Guermazi
  • Janine Bédrossian
  • Jacques Frija
CASE REPORT

Abstract

Bartonella henselae, previously called Rochalimaea henselae, is the causative agent of cat scratch disease (CSD) in immunocompetent subjects and bacillary angiomatosis in immunocompromised ones. Bone lesions are common in bacillary angiomatosis, but not in CSD. We present the case of a patient with a renal transplant treated by immunosuppressive therapy who developed a sternal abscess with a histological pattern of CSD. The CT pattern was that of a lytic bone lesion with adjacent fluid collection. The diagnosis was made on the basis of a polymerase chain reaction amplification performed on bone material. Bartonella henselae is a newly described bacteria that causes CSD in a normal host and bacillary angiomatosis in immunocompromised patients. We report a case of an osteolytic lesion of the sternum with adjacent fluid collection related to CSD, which occurred in a patient with a renal transplant.

Key words Bone diseases Bone infections Cat scratch disease Angiomatosis bacillary Immunodeficiency 

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Copyright information

© International Skeletal Society 1997

Authors and Affiliations

  • Frédéric Bruckert
    • 1
  • Eric de Kerviler
    • 1
  • Anne-Marie Zagdanski
    • 1
  • Jean-Michel Molina
    • 2
  • Isabelle Casin
    • 3
  • A. Guermazi
    • 1
  • Janine Bédrossian
    • 4
  • Jacques Frija
    • 1
  1. 1.Department of Radiology, Hôpital Saint Louis, 1, avenue Claude Vellefaux, F-75475 Paris Cédex 10, FranceFR
  2. 2.Department of Infectious Diseases, Hôpital Saint Louis, Paris, FranceFR
  3. 3.Department of Microbiology, Hôpital Saint Louis, Paris, FranceFR
  4. 4.Department of Nephrology, Hôpital Saint Louis, Paris, FranceFR

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