caa a22 4500 475832167 CHVBK 20180406123843.0 cr unu---uuuuu 170329e20001101xx s 000 0 eng 10.1007/s100960000370 doi (NATIONALLICENCE)springer-10.1007/s100960000370 Osteomyelitis of the Hip Joint Associated with Systemic Cat-Scratch Disease in an Adult [Elektronische Daten] [R. Krause, C. Wenisch, P. Fladerer, F. Daxböck, G. J. Krejs, E. C. Reisinger]  Reported here is the case of a 29-year-old male with cervical lymphadenopathy, fever and weight loss, followed by acute painful osteomyelitis of the left hip joint due to cat-scratch disease. The diagnosis was established by detection of IgG antibodies to Bartonella henselae in serum and histologic examination of a lymph node including a positive polymerase chain reaction test. Treatment consisted of clarithromycin and cefotiam for 2 weeks. Four weeks after discharge, all of the patient's symptoms had completely resolved. Magnetic resonance imaging of the left hip joint showed marked regression of bone inflammation 4 months later and normalization after 8 months. Cat-scratch disease should be considered in the differential diagnosis of osteomyelitis in an adult, especially when lymphadenitis is present. Springer-Verlag Berlin Heidelberg, 2000 Krause R. Division of Infectious Diseases, Department of Internal Medicine, Karl-Franzens University, Auenbruggerplatz 15, 8036 Graz, Austria e-mail: robert.krause@kfunigraz.ac.at Tel.: +43-316-3853150 Fax: +43-316-3853062, AT aut Wenisch C. Division of Infectious Diseases, Department of Internal Medicine, Karl-Franzens University, Auenbruggerplatz 15, 8036 Graz, Austria e-mail: robert.krause@kfunigraz.ac.at Tel.: +43-316-3853150 Fax: +43-316-3853062, AT aut Fladerer P. Division of Infectious Diseases, Department of Internal Medicine, Karl-Franzens University, Auenbruggerplatz 15, 8036 Graz, Austria e-mail: robert.krause@kfunigraz.ac.at Tel.: +43-316-3853150 Fax: +43-316-3853062, AT aut Daxböck F. Division of Infectious Diseases, Department of Internal Medicine, Karl-Franzens University, Auenbruggerplatz 15, 8036 Graz, Austria e-mail: robert.krause@kfunigraz.ac.at Tel.: +43-316-3853150 Fax: +43-316-3853062, AT aut Krejs G. J. Division of Infectious Diseases, Department of Internal Medicine, Karl-Franzens University, Auenbruggerplatz 15, 8036 Graz, Austria e-mail: robert.krause@kfunigraz.ac.at Tel.: +43-316-3853150 Fax: +43-316-3853062, AT aut Reisinger E. C. Department of Medicine, Tropical Medicine and Infectious Diseases, University of Rostock, Rostock, Germany, DE aut https://doi.org/10.1007/s100960000370 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s100960000370 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Krause R. Division of Infectious Diseases, Department of Internal Medicine, Karl-Franzens University, Auenbruggerplatz 15, 8036 Graz, Austria e-mail: robert.krause@kfunigraz.ac.at Tel.: +43-316-3853150 Fax: +43-316-3853062, AT aut NATIONALLICENCE 700 1- Wenisch C. Division of Infectious Diseases, Department of Internal Medicine, Karl-Franzens University, Auenbruggerplatz 15, 8036 Graz, Austria e-mail: robert.krause@kfunigraz.ac.at Tel.: +43-316-3853150 Fax: +43-316-3853062, AT aut NATIONALLICENCE 700 1- Fladerer P. Division of Infectious Diseases, Department of Internal Medicine, Karl-Franzens University, Auenbruggerplatz 15, 8036 Graz, Austria e-mail: robert.krause@kfunigraz.ac.at Tel.: +43-316-3853150 Fax: +43-316-3853062, AT aut NATIONALLICENCE 700 1- Daxböck F. Division of Infectious Diseases, Department of Internal Medicine, Karl-Franzens University, Auenbruggerplatz 15, 8036 Graz, Austria e-mail: robert.krause@kfunigraz.ac.at Tel.: +43-316-3853150 Fax: +43-316-3853062, AT aut NATIONALLICENCE 700 1- Krejs G. J. Division of Infectious Diseases, Department of Internal Medicine, Karl-Franzens University, Auenbruggerplatz 15, 8036 Graz, Austria e-mail: robert.krause@kfunigraz.ac.at Tel.: +43-316-3853150 Fax: +43-316-3853062, AT aut NATIONALLICENCE 700 1- Reisinger E. C. Department of Medicine, Tropical Medicine and Infectious Diseases, University of Rostock, Rostock, Germany, DE aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer