An unusual etiology of multifocal osteomyelitis in a previously healthy African American male

Abstract

Introduction: Multifocal osteomyelitis secondary to Bartonella henselae (B. henselae) is a rare clinical manifestation in children that can mimic chronic recurrent multifocal osteomyelitis (CRMO), with its indolent clinical course as well as similar findings on a Whole Body Magnetic Resonance Imaging (WB-MRI). Clinicians should be aware that disseminated B. henselae infection can be distinguished from CRMO, with epidemiologic link, serologic evidence, and visceral involvement (from hematologic spread). Case Presentation: A previously healthy 11-year-old African American male presented to emergency department (ED) for 12 days of fever (Tmax 104 F) at home, with associated headache …