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Torticollis and Fever in a Young Boy: A Unique Presentation of Cat-Scratch Disease With Vertebral Osteomyelitis and Epidural Phlegmon.
- Source :
-
Pediatric emergency care [Pediatr Emerg Care] 2017 Dec; Vol. 33 (12), pp. e164-e166. - Publication Year :
- 2017
-
Abstract
- Cat-scratch disease-associated vertebral osteomyelitis and epidural involvement are rare and may manifest with nonspecific chronic symptoms in children, such as fever or torticollis. We present only the fourth case in the literature describing epidural involvement in an immunocompetent boy presenting with fever, torticollis, and indiscriminate left upper back tenderness. Bartonella henselae serologies are important to consider because such atypical complications often are responsive to conservative management with antibiotics.
- Subjects :
- Anti-Bacterial Agents therapeutic use
Bartonella henselae immunology
Cat-Scratch Disease complications
Cat-Scratch Disease drug therapy
Cellulitis drug therapy
Child, Preschool
Diagnosis, Differential
Epidural Space pathology
Fever etiology
Humans
Magnetic Resonance Imaging
Male
Osteomyelitis drug therapy
Spine pathology
Torticollis etiology
Cat-Scratch Disease diagnosis
Cellulitis complications
Osteomyelitis complications
Subjects
Details
- Language :
- English
- ISSN :
- 1535-1815
- Volume :
- 33
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Pediatric emergency care
- Publication Type :
- Academic Journal
- Accession number :
- 29095386
- Full Text :
- https://doi.org/10.1097/PEC.0000000000001330