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Pediatric neurosurgery · Jan 2007
Case ReportsCat scratch disease with epidural extension while on antimicrobial treatment.
- Sabiha Hussain and Mobeen H Rathore.
- Pediatric Infectious Diseases and Immunology, University of Florida, USA.
- Pediatr Neurosurg. 2007 Jan 1; 43 (2): 164-6.
AbstractWe 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.Copyright (c) 2007 S. Karger AG, Basel.
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