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Cat scratch disease presenting as orbital abscess and osteomyelitis

Mirakhur B, Shah SS, Ratner AJ, Goldstein SM, Bell LM, Kim JO.

Divisions of General Pediatrics, The Children's Hospital of Philadelphia. Scheie Eye Institute, Philadelphia, Pennsylvania 19104, USA.

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.

J Clin Microbiol. 2003 Aug;41(8):3991-3.

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