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Bartonella bacilliformis (Oroya fever, Carrion's disease)
Epidemiology:
- intermediate host: sandfly in Peru, Ecuador, Columbia
- transmitted by bite of infected fly
Clinical manifestations:
- acute phase: hemolysis & fever
- chronic phase:
- benign eruptive lesions, pruritus, bleeding
- malaise, arthritis
Laboratory:
- Bartonella bacilliformis serology
- Bartonella identified by culture
- Bartonella can be isolated from blood cultures &/or chronic lesions
Complications:
- untreated mortality 40-85%
- coinfection with enterobacteria (Salmonella spp) & parasites (Toxoplasma gondii, Pneumocystis jirovecci)
Management:
- quinolones (due to risk of enterobacteria infection)
General
Bartonella (formerly Rochalimaea)
Properties
KINGDOM: monera
DIVISION: SCHIZOMYCETES
References
- Wilipedia: Bartonella bacilliformis
http://en.wikipedia.org/wiki/Bartonella_bacilliformis
- Microbe Wiki: Bartonella bacilliformis
http://microbewiki.kenyon.edu/index.php/Bartonella_bacilliformis
- Kosek M, Lavarello R, Gilman RH et al
Natural history of infection with Bartonella bacilliformis
in a nonendemic population.
J Infect Dis. 2000 Sep;182(3):865-72. Epub 2000 Aug 17.
PMID: 10950782