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Clin Nucl Med. 2012 Aug;37(8):772-4. doi: 10.1097/RLU.0b013e31824d252f.

Cat-scratch disease and bone scintigraphy.

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Nuclear Medicine Department, AP-HP, A Trousseau Children Hospital, Paris, France.


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.

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