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Revista chilena de infectología

versão impressa ISSN 0716-1018

Resumo

WOLFF P, Eduardo; MUNOZ F, M. Paz; ZAPATA F, Cecilia  e  LEDERMANN D, Walter. CAT-SCRATCH DISEASE WITH SYSTEMIC ENVOLVEMENT, OSTEOVERTEBRAL OSTEOMYELITIS AND PARAVERTEBRAL ABSCESS. Rev. chil. infectol. [online]. 2000, vol.17, n.4, pp.332-339. ISSN 0716-1018.  http://dx.doi.org/10.4067/S0716-10182000000400009.

Cat-scratch disease (CSD) is a relatively common acute and benign infectious disease caused by Bartonella henselae, with only a small proportion of patients showing extranodal manifestations. We present two patients, a 9-year old girl and a 10-year old boy with CSD complicated by osteomyelitic envolvement of vertebra, sternon, skull and pelvis, paravertebral abscess, splenic enlargement and lymphadenopathy in one case, and severe vertebral envolvement with a destructive process in the other. Both were treated with clarithromycin (in the first case rifampin was added), with a favorable clinical outcome and recovery in their radiological and scintigraphic images. We discuss the clinical features and management of both cases according to a review of previously

Palavras-chave : Cat-scratch disease, Bartonella henselae, Osteomyelitis; Spondilodiskitis; Paravertebral abscess.

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