Hussain Sabiha, Rathore Mobeen H
Pediatric Infectious Diseases and Immunology, University of Florida, USA.
Pediatr Neurosurg. 2007;43(2):164-6. doi: 10.1159/000098395.
We report the first case of a child with an epidural abscess caused by Bartonella henselae. This case is unique in that the diagnosis was confirmed by polymerase chain reaction (PCR) of the abscess fluid. A 3-year-old male was admitted with a 1-week history of fever and lower back pain. Magnetic resonance imaging (MRI) of the lumbar spine revealed a paraspinal soft tissue abnormality extending from the T(12) to the L(4) level, and a computed tomography (CT) scan of the lumbar spine showed osteomyelitis at the T(12) level with soft tissue changes. B. henselae serology showed an IgG titer of 1:256 and IgM of <1:16.
我们报告了首例由汉赛巴尔通体引起的儿童硬膜外脓肿病例。该病例的独特之处在于通过脓肿液聚合酶链反应（PCR）确诊。一名3岁男性因发热和下背部疼痛1周入院。腰椎磁共振成像（MRI）显示从胸12至腰4水平的椎旁软组织异常，腰椎计算机断层扫描（CT）显示胸12水平骨髓炎伴软组织改变。汉赛巴尔通体血清学显示IgG滴度为1:256，IgM<1:16。
