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Infect Dis Clin North Am. 2005 Sep;19(3):691-711.

The expanded spectrum of bartonellosis in children.

Author information

1
Department of Procreative Medicine and Child Development, Division of Pediatrics, University of Pisa Hospital, Italy. f.massei@clp.med.unipi.it

Abstract

Bartonella spp cause various clinical syndromes immunocompetent and immunocompromised hosts. Domestic cats are the natural reservoir, and vectors of B henselae. B henselae infection usually occurs early in childhood, is generally asymptomatic, and in most cases revolves spontaneously. It may, however, produce a wide spectrum of clinical symptoms, the most frequent feature being cat-scratch disease. Disseminated atypical B. henselae infection may follow cat-scratch disease alter a symptom-free period or may present de novo mimicking a wide range of clinical disorders. A careful clinical history researching an intimate contact with a kitten associated with a specific serology and an abdominal ultrasound for typical hepatosplenic involvement may follow a rapid and accurate diagnosis.

PMID:
16102656
DOI:
10.1016/j.idc.2005.06.001
[Indexed for MEDLINE]
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