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Bartonella quintana (Rochalimaea quintana)
Etiologic agent of trench fever (WW II trenches in France), & peliosis hepatis & bacillary angiomatosis in HIV infected patients.
Epidemiology: transmitted by body louse.
Clinical manifestations:
1) incubation period: 3-38 days
2) HIV patients
a) bacillary angiomatosis
b) peliosis hepatis
c) bacteremia
d) endocarditis
3) prolonged fever in homeless patients
Laboratory:
- Bartonella quintana serology
- Bartonella quintana DNA, Bartonella quintana rRNA
Management: relapse may occur if not treated.
Related
bacillary angiomatosis
peliosis hepatis
General
Bartonella (formerly Rochalimaea)
Properties
KINGDOM: monera
DIVISION: SCHIZOMYCETES
References
Clinical Diagnosis & Management by Laboratory Methods,
19th edition, J.B. Henry (ed), W.B. Saunders Co.,
Philadelphia, PA. 1996, pg 1126