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Multifocal pelvic osteomyelitis in a child associated with cat-scratch disease: a case report and review of the literature

ABSTRACT Bone infections in cat-scratch disease (CSD) are uncommon and the diagnosis can be missed. A 3-year-old boy with multifocal pelvic osteomyelitis caused by Bartonella henselae is reported. Serological tests were negative but DNA was detected by polymerase chain reaction assay of a lymph node. A swift recovery followed antibiotic treatment and there was completeresolution within a few months. The literature on 64 cases of osteomyelitis owing to CSD in children and adults since 1954 is reviewed.