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Journal of Clinical Microbiology, August 2003, p. 3991-3993, Vol. 41, No. 8
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.8.3991-3993.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Cat Scratch Disease Presenting as Orbital Abscess and Osteomyelitis

Beloo Mirakhur,1 Samir S. Shah,1,2* Adam J. Ratner,2 Scott M. Goldstein,3,4 Louis M. Bell,1,2 and Jean O. Kim2

Divisions of General Pediatrics,1 Infectious Diseases,2 Department of Ophthalmology, The Children's Hospital of Philadelphia,3 Scheie Eye Institute, Philadelphia, Pennsylvania4

Received 12 November 2002/ Returned for modification 17 March 2003/ Accepted 1 May 2003

Ocular manifestations of cat scratch disease are uncommon. The diagnosis is usually made on the basis of increasing Bartonella henselae serum antibody titers. We report a child presenting with orbital abscess and osteomyelitis who was diagnosed with hepatosplenic cat scratch disease by detection of B. henselae DNA in the orbital abscess fluid.

* Corresponding author. Mailing address: 2nd floor, Division of General Pediatrics, 34th and Civic Center Blvd., The Children's Hospital of Philadelphia, Philadelphia, PA 19104. Phone: (215) 590-4378. Fax: (215) 590-2180. E-mail: shahs{at}email.chop.edu.

Journal of Clinical Microbiology, August 2003, p. 3991-3993, Vol. 41, No. 8
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.8.3991-3993.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.



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