Vermeulen Marijn J, Rutten Geert J, Verhagen Ivo, Peeters Marcel F, van Dijken Pieter J
Department of Pediatrics, St. Elisabeth Hospital, Tilburg, The Netherlands.
Pediatr Infect Dis J. 2006 Dec;25(12):1177-81. doi: 10.1097/01.inf.0000246807.14916.d3.
Cat-scratch disease (CSD) rarely presents as vertebral osteomyelitis. We describe a case with paresis of the arm with total recovery after antibiotic and neurosurgical therapy. We reviewed 20 other cases of CSD vertebral osteomyelitis in the literature. This diagnosis should be considered in patients with systemic symptoms, back pain, and cat contact. The prognosis is generally good.
猫抓病(CSD)很少表现为脊椎骨髓炎。我们描述了一例伴有手臂麻痹的病例,经抗生素和神经外科治疗后完全康复。我们回顾了文献中其他20例CSD脊椎骨髓炎病例。对于有全身症状、背痛且有猫接触史的患者应考虑这一诊断。总体预后良好。