View source for Bartonella bacilliformis

==Background==
===Epidemiology===
* Range is essentially restricted to the Andean mountains in Peru, Ecuador, and Colombia
* Transmitted by ''[[Has vector::Lutzomyia]]'' sand flies
* Humans are primary reservoir

==Clinical Presentation==
* Traditionally presents as a biphasic illness with an acute phase ('''Oroya fever''') and a late phase ('''verruga peruana''')
* The acute phase is characterized by fever, malaise, and a hemolytic anemia
* The late phase is characterized by nodular skin lesions

==Diagnosis==
* During acute phase, may see intraerythrocytic bacteria on blood film

==Management==