Presentation
We present a case report of an unusual CSD presentation, persistent hepatic granulomatous disease due to Bartonella henselae infection despite combination therapy with doxycycline and rifampicin. Furthermore, a review of literature was conducted. [ncbi.nlm.nih.gov]
Immune System
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Palpable Spleen
Examination confirmed aortic regurgitation, palpable spleen and left facial droop. Multiple peripheral blood cultures were negative. [ncbi.nlm.nih.gov]
Entire Body System
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Asymptomatic
As an intra-erythrocytic and endotheliotropic bacterium, B. henselae causes a spectrum of symptomatology ranging from asymptomatic bacteremia to fever, endocarditis and death. Veterinary workers are at occupational risk for acquiring bartonellosis. [ncbi.nlm.nih.gov]
The zoonotic pathogen Bartonella henselae causes an asymptomatic blood infection in its cat reservoir host, whereas incidental transmission to humans causes a benign inflammation of lymph nodes in immunocompetent patients known as cat-scratch disease [doi.org]
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Constitutional Symptom
A 28-year-old man with a bicuspid aortic valve presented with facial droop and slurred speech with several months of constitutional symptoms of night sweats, weight loss and productive cough. [ncbi.nlm.nih.gov]
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Goiter
We describe an 11-year-old boy who presented with goiter and weight loss. At the time of admission a 2 1 cm mildly tender right supraclavicular lymph node was noted in association with an erythematous papule at the same side of the neck. [ncbi.nlm.nih.gov]
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Inguinal Mass
We report a case of a 35-year-old Caucasian male complaining of a painless right inguinal mass and slight fever. [ncbi.nlm.nih.gov]
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Intermittent Fever
A detailed clinical history revealed a history that she had been scratched by a cat and developed intermittant fevers over 3 months. Bartonella henselae was identified by broad-range 16S r-DNA polymerase chain reaction on valvular tissue specimens. [ncbi.nlm.nih.gov]
Respiratoric
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Exertional Dyspnea
A 65-year-old Japanese man was admitted with a 4-month history of fatigue and exertional dyspnea. Transthoracic echocardiography revealed a vegetation on the aortic valve and severe aortic regurgitation. [ncbi.nlm.nih.gov]
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Pharyngitis
We present a case of a 41-year-old woman receiving methimazole for Grave's disease, who presented to outpatient care with high fever, pharyngitis, lymphadenopathy and jaundice. [ncbi.nlm.nih.gov]
Eyes
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Central Scotoma
This case report describes Bartonella henselae neuroretinitis in a 26-year-old woman who presented to the emergency department with unilateral central scotoma and no prodromal symptoms, a unique presentation of this disease. [ncbi.nlm.nih.gov]
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Scotoma
This case report describes Bartonella henselae neuroretinitis in a 26-year-old woman who presented to the emergency department with unilateral central scotoma and no prodromal symptoms, a unique presentation of this disease. [ncbi.nlm.nih.gov]
Psychiatrical
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Auditory Hallucination
During the 12 year period that followed the initial onset of neurological and gastrointestinal symptoms, an 11 year-old girl experienced a spectrum of neurological complaints including frequent headaches, visual and auditory hallucinations, anxiety, vision [ncbi.nlm.nih.gov]
Face, Head & Neck
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Neck Swelling
In this article, the authors report the case of a 7-year-old boy who presented with neck swelling and was found to have a C2-4 paravertebral B. henselae abscess with osteomyelitis of C-3 and epidural extension. [ncbi.nlm.nih.gov]
Neurologic
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Polyradiculoneuropathy
Over the ensuing months, the youngest son was diagnosed with Guillain-Barre (GBS) syndrome followed by Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP). [ncbi.nlm.nih.gov]
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Slurred Speech
A 28-year-old man with a bicuspid aortic valve presented with facial droop and slurred speech with several months of constitutional symptoms of night sweats, weight loss and productive cough. [ncbi.nlm.nih.gov]
Workup
Visual Field Test
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Central Scotoma
This case report describes Bartonella henselae neuroretinitis in a 26-year-old woman who presented to the emergency department with unilateral central scotoma and no prodromal symptoms, a unique presentation of this disease. [ncbi.nlm.nih.gov]
Treatment
The duration of treatment in patients with bartonella endocarditis is not clearly defined, and we decided to treat our patient with a prolonged course of antibiotic. Surgical treatment is usually necessary and was also successful in our patient. [ncbi.nlm.nih.gov]
Prognosis
These mechanisms suggest a novel link between communicable and non-communicable human diseases, and put forward the possibility that Bartonella henselae could enhance the susceptibility and worsen the prognosis in cardiovascular disease. [ncbi.nlm.nih.gov]
Abstracts: Thirty-Fifth Annual CTRC‐AACR San Antonio Breast Cancer Symposium‐‐ Dec 4‐8, 2012; San Antonio, TX Abstract Inflammatory breast cancer (IBC) is a very aggressive type of advanced breast cancer with a poor prognosis. [cancerres.aacrjournals.org]
Etiology
Serologic studies and polymerase chain reaction testing of resected homograft valvular tissue provided evidence of Bartonella henselae as the etiology. [ncbi.nlm.nih.gov]
Epidemiology
The epidemiology of febrile illnesses in Namibia needs further evaluation in order to develop comprehensive local diagnostic and treatment algorithms. [ncbi.nlm.nih.gov]
Epidemiologic and Clinical Features of Lassa Fever Outbreak in Nigeria, January 1–May 6, 2018. Emerging Infectious Diseases, 25 (6), 1066-1074. . [cdc.gov]
Prevention
This could prevent splenic bartonellosis being mistaken for lymphoma and thereby avert unnecessary splenectomy. [ncbi.nlm.nih.gov]