{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:26:12Z","timestamp":1753889172603,"version":"3.41.2"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,8,4]],"date-time":"2024-08-04T00:00:00Z","timestamp":1722729600000},"content-version":"vor","delay-in-days":216,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006518","name":"University of Nebraska Medical Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006518","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p><jats:italic>Bartonella henselae<\/jats:italic> is a Gram\u2010negative bacillus transmitted to humans via cat saliva or scratch. Cat scratch disease, the typical clinical manifestation of <jats:italic>B. henselae<\/jats:italic> infection, presents as localized cutaneous or regional lymphadenopathy. Rare, atypical presentations, generally reflecting bloodborne disseminated disease, can include hepatosplenic, cardiac, ocular, neurologic, or musculoskeletal involvement. Here, we present a case of disseminated <jats:italic>B. henselae<\/jats:italic> with hepatic abscesses and associated ischial osteomyelitis in an immunocompetent 2\u2010year\u2010old male patient. Although osteomyelitis is a rare manifestation of <jats:italic>B. henselae<\/jats:italic> infection, it should be included in the differential diagnosis in pediatric patients presenting with fever of unknown origin and musculoskeletal pain, especially in the setting of cat exposure. Hepatic involvement of <jats:italic>B. henselae<\/jats:italic> infection is associated with significant morbidity; therefore, abdominal imaging is critical in the diagnostic workup. This patient was successfully treated after a 6\u2010week course of azithromycin and rifampin, as evidenced by symptom resolution and improved fluid collections on repeat imaging. While most cases of <jats:italic>B. henselae<\/jats:italic> resolve without treatment, in severe or disseminated infection such as this case, antibiotics such as azithromycin and rifampin should be considered for treatment.<\/jats:p>","DOI":"10.1155\/2024\/7810497","type":"journal-article","created":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T04:33:58Z","timestamp":1722832438000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Bartonella henselae<\/i> Hepatic Abscesses and Associated Osteomyelitis in a Pediatric Patient"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8920-7804","authenticated-orcid":false,"given":"Molly","family":"Antonson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0482-6964","authenticated-orcid":false,"given":"Lauren","family":"Klingemann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6476-5924","authenticated-orcid":false,"given":"Kari","family":"Neemann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,4]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_12_1_2","DOI":"10.1542\/peds.2007-1897"},{"doi-asserted-by":"publisher","key":"e_1_2_12_2_2","DOI":"10.1111\/zph.12368"},{"doi-asserted-by":"publisher","key":"e_1_2_12_3_2","DOI":"10.1097\/md.0000000000000089"},{"doi-asserted-by":"publisher","key":"e_1_2_12_4_2","DOI":"10.1086\/523587"},{"doi-asserted-by":"publisher","key":"e_1_2_12_5_2","DOI":"10.1016\/j.ijantimicag.2014.04.006"},{"doi-asserted-by":"publisher","key":"e_1_2_12_6_2","DOI":"10.1007\/s10156-007-0548-1"},{"doi-asserted-by":"publisher","key":"e_1_2_12_7_2","DOI":"10.4322\/acr.2014.016"},{"doi-asserted-by":"publisher","key":"e_1_2_12_8_2","DOI":"10.1097\/icu.0000000000000522"},{"doi-asserted-by":"publisher","key":"e_1_2_12_9_2","DOI":"10.1016\/j.jccase.2015.08.011"},{"doi-asserted-by":"publisher","key":"e_1_2_12_10_2","DOI":"10.1007\/s10072-018-3618-5"},{"doi-asserted-by":"publisher","key":"e_1_2_12_11_2","DOI":"10.1016\/j.jpeds.2018.05.033"},{"doi-asserted-by":"publisher","key":"e_1_2_12_12_2","DOI":"10.1093\/jpids\/piab027"},{"doi-asserted-by":"publisher","key":"e_1_2_12_13_2","DOI":"10.1155\/2018\/2750275"},{"doi-asserted-by":"publisher","key":"e_1_2_12_14_2","DOI":"10.1093\/cid\/ciu296"},{"doi-asserted-by":"publisher","key":"e_1_2_12_15_2","DOI":"10.1097\/00006454-199703000-00003"}],"container-title":["Case Reports in Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2024\/7810497","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T04:34:02Z","timestamp":1722832442000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2024\/7810497"}},"subtitle":[],"editor":[{"given":"Piyush","family":"Baindara","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1155\/2024\/7810497"],"URL":"https:\/\/doi.org\/10.1155\/2024\/7810497","archive":["Portico"],"relation":{},"ISSN":["2090-6625","2090-6633"],"issn-type":[{"type":"print","value":"2090-6625"},{"type":"electronic","value":"2090-6633"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2023-12-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"7810497"}}