UNASSIGNED: @entity11102 ( @entity11102 ) is caused by @entity2711 , with unknown prevalence and incidence in the Chilean paediatric population. @entity3329 is the most common presentation, while atypical forms constitute a diagnostic challenge. OBJECTIVE: To report a case of @entity11102 with @entity4034 and present guidelines regarding treatment. CLINICAL CASE: An eight year-old @entity1 , with prolonged @entity221 , @entity615 and neck stiffness. Laboratory studies highlight positive IgG for @entity2711 . The abdominal ultrasound showed splenic micro-abscesses, and the MRI showing vertebral lesions suggestive of @entity4034 . DISCUSSION: The diagnosis of atypical forms requires a high rate of suspicion, as in this case, in which the @entity1 manifested the musculoskeletal symptoms simultaneously with the @entity221 , which led us to study possible complications of the disease. Current knowledge of the treatment of atypical or complicated @entity11102 is derived from the observation of case studies, rather than randomized trials. It is suggested that antibiotic therapy is analysed individually, with the help of a specialist. CONCLUSION: The importance of high clinical suspicion are emphasised and discussed, as well presenting some treatment options based on the evidence from the current literature.

[ @entity2711 XXXX : report of a case].

@entity1 :: ('9606', 'Species') :: ['patient'] @entity3329 :: ('MESH:D008206', 'Disease') :: ['Regional lymphadenopathy'] @entity4034 :: ('MESH:D010019', 'Disease') :: ['osteomyelitis'] @entity615 :: ('MESH:D001416', 'Disease') :: ['back pain'] @entity2711 :: ('38323', 'Species') :: ['Bartonella henselae'] @entity11102 :: ('MESH:D002372', 'Disease') :: ['Cat scratch disease', 'CSD'] @entity221 :: ('MESH:D005334', 'Disease') :: ['febrile illness', 'febrile syndrome']
@entity4034 :: (MESH:D010019,Disease) :: ['vertebral osteomyelitis']
