Pearls & Oy-sters: Bilateral Mononeuropathic Neuralgic Amyotrophy Triggered by Bartonella henselae Infection Responsive to Immunoglobulin.

Dietmann, Anelia; Colin-Benoit, Eugénie; Tinkhauser, Gerd; Meinel, Thomas Raphael; Scheidegger, Olivier (2022). Pearls & Oy-sters: Bilateral Mononeuropathic Neuralgic Amyotrophy Triggered by Bartonella henselae Infection Responsive to Immunoglobulin. Neurology, 98(14), pp. 597-600. American Academy of Neurology 10.1212/WNL.0000000000200014

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We present a case of a cat owner with a scar on his right thenar eminence, followed by lymphadenopathy in the right axilla, general malaise and fever, and subsequent onset of bilateral neuralgic amyotrophy within one week. After a comprehensive workup, cat scratch disease caused by Bartonella henselae was confirmed serologically and adequately treated. Despite antibiotic treatment, the patient presented clinically with persistent bilateral, asymmetric neuropathy of the median nerve, predominantly the interosseous anterior nerve, which was confirmed by multifocal swelling and hyperintense signal of the nerves on T2-weighted MR neurography. Electrophysiological examination confirmed axonal median neuropathies bilaterally. After an unsuccessful steroid treatment trial, the patient showed an excellent and sustained response to intravenous immunoglobulin despite a delay from symptom onset to treatment of 10 months.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology
04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Infectiology

UniBE Contributor:

Dietmann, Anelia, Colin-Benoit, Eugénie Marie, Tinkhauser, Gerd, Meinel, Thomas Raphael, Scheidegger, Olivier

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1526-632X

Publisher:

American Academy of Neurology

Language:

English

Submitter:

Chantal Kottler

Date Deposited:

02 Nov 2022 08:32

Last Modified:

05 Dec 2022 16:27

Publisher DOI:

10.1212/WNL.0000000000200014

PubMed ID:

35145008

BORIS DOI:

10.48350/174407

URI:

https://boris.unibe.ch/id/eprint/174407

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