猫抓病中的骨髓炎：一例报告及文献综述
[Osteomyelitis in cat scratch disease: A case report and literature review].
作者信息
Lafenetre M, Herbigneaux R M, Michoud M, Descours G, Debillon T
机构信息
Hôpital Couple-Enfant-Grenoble, avenue Maquis-du-Grésivaudan, 38700 La Tronche, France.
Service de pédiatrie, hôpital de Chambéry, place Lucien-Biset, 73000 Chambéry, France.
出版信息
Arch Pediatr. 2016 Feb;23(2):188-91. doi: 10.1016/j.arcped.2015.11.009. Epub 2015 Dec 22.
INTRODUCTION
Cat scratch disease is an infection caused by Bartonella henselae. The main clinical form is a lymphadenopathy with fever. However, uncommon bone involvement has been described.
CASE REPORT
In this paper, we report a case of osteomyelitis in a 13-year-old teenager infected with B. henselae. The diagnosis was made based on PCR only because the serology was negative. A literature review reports 65 cases of osteomyelitis due to cat scratch disease. For each case, serology and PCR were notified.
CONCLUSION
Osteomyelitis caused by B. henselae is a rare clinical manifestation. The diagnosis can be difficult, but the medical history must be accurate to search for contact with a cat and a cat scratch.
引言
猫抓病是由汉赛巴尔通体引起的一种感染。主要临床症状为伴有发热的淋巴结病。然而，已有罕见的骨骼受累的相关描述。
病例报告
在本文中，我们报告了一例13岁感染汉赛巴尔通体的青少年发生骨髓炎的病例。仅基于聚合酶链反应（PCR）做出诊断，因为血清学检测为阴性。文献综述报道了65例由猫抓病引起的骨髓炎病例。每例均报告了血清学检测和PCR结果。
结论
汉赛巴尔通体引起的骨髓炎是一种罕见的临床表现。诊断可能困难，但病史必须准确以查找与猫的接触及猫抓情况。
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