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Cat-Scratch Disease and Bone Scintigraphy

Ismaili-Alaoui, Nadia, MD*; Vuong, Valerie, MD*; Marcu-Marin, M., MD; Sergent-Alaoui, Aline, MD*; Chevallier, Bertrand, MD, PhD; de Labriolle-Vaylet, Claire, MD, PhD*‡

doi: 10.1097/RLU.0b013e31824d252f
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Cat-scratch disease is a bacterial infection caused by Bartonella henselae. Bone involvement is rare. We describe the case of a 7-year-old boy with a systemic form of the disease. He presented with a 15-day history of fever, altered general condition, weight loss and cough, associated with back pain, and right-sided coxalgia. Bone scintigraphy with Tc-99m hydroxymethylene diphosphonate showed spinal involvement, the iliac crest, the right ankle, and the right first metatarsal. Magnetic resonance imaging confirmed these locations. He was positive for anti-Bartonella henselae. The fever regressed before treatment with rifampicin began, and he made a full recovery.

From the *Nuclear Medicine Department, AP-HP, A Trousseau Children Hospital,Paris, France; †General Pediatric Department, AP-HP, A Paré Hospital, Boulogne-Billancourt, France; and ‡UPMC, Univ Paris 6.

Received for publication June 9, 2011; revision accepted July 17, 2011.

NIA and VV contributed equally and should be considered as joint first authors.

Conflicts of interest and sources of funding: none declared.

Reprints: Claire de Labriolle-Vaylet, MD, PhD, Nuclear Medicine Department, Hôpital d’ Enfants Armand Trousseau, 26 rue du Dr Arnold Netter, F-75012 Paris, France. E-mail: claire.vaylet@trs.aphp.fr.

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