It is known that Bartonella is transmitted through the scratches of domestic or feral cats. Infected fleas can carry the Bartonella bacteria and infect the cats and may spread it directly to people, although CDC says this is yet unproven. The disease is often called cat scratch disease. Another strain of Bartonella is transmitted by the human body louse causing what is called trench fever. Another strain causes Carrion’s disease, formerly called bartonellosis, through the bite of a sand fly. It occurs in Western South America in high elevations of the Andes Mountains.
Bartonella henselae is associated with heartburn, abdominal pain, skin rash, mesenteric adenitis, gastritis and duodentis in children and adolescents. Symptoms can include visual problems, headaches, significant lymph node enlargement, resistant neurological deficits and the new onset of a seizure disorder.
Diagnosis is based on acute and convalescent antibody titers (IFA) and/or positive PCR analysis.
Treatment may be combination macrolides, TCNs, rifamycin, (also possible Bactrim or fluoroquinolones). Provided as information only.
Click album below for photos of Bartonella rashes /index.php/resources/medical-photos/category/27-bartonella
Link to LDA Bartonella photos
Link to paper on Bartonella
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