Bartonella henselae: Difference between revisions

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Bartonella henselae
(Created page with "* Causes '''cat-scratch disease''' {{DISPLAYTITLE:''Bartonella henselae''}} Category:Gram-negative bacilli")
 
(initial creation with brief epidemiology and presentation)
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==Background==
* Causes '''cat-scratch disease'''
* Causes '''cat-scratch disease'''

===Epidemiology===
* Present worldwide
* Main reservoir is cats, and especially kittens
* Infections are more common in children, likely due to increased exposure to kittens
* Transmitted to humans by inoculation of cat flea (''[[Ctenocephalides felis]]'') feces into a cat scratch or bite

==Clinical Presentation==
* Classic cat-scratch disease is a self-limited febrile illness with [[Causes::regional lymphadenopathy]]
* Other syndromes include:
** Parinaud oculoglandular syndrome, with granulomatous conjunctivitis and ipsilateral regional lymphadenopathy
** Neuroretinitis and other ophthalmic complications
** Fever of unknown origin, in children
** Culture-negative endocarditis in patients with existing valve abnormalities
** Chronic endocarditis, with vasculitis and glomerulonephritis
* Disseminated disease is possible in immunocompromised patients, including bacteremia, disseminated skin lesions, and hepatsplenic lesions


{{DISPLAYTITLE:''Bartonella henselae''}}
{{DISPLAYTITLE:''Bartonella henselae''}}

Revision as of 00:39, 16 May 2020

Background

  • Causes cat-scratch disease

Epidemiology

  • Present worldwide
  • Main reservoir is cats, and especially kittens
  • Infections are more common in children, likely due to increased exposure to kittens
  • Transmitted to humans by inoculation of cat flea (Ctenocephalides felis) feces into a cat scratch or bite

Clinical Presentation

  • Classic cat-scratch disease is a self-limited febrile illness with regional lymphadenopathy
  • Other syndromes include:
    • Parinaud oculoglandular syndrome, with granulomatous conjunctivitis and ipsilateral regional lymphadenopathy
    • Neuroretinitis and other ophthalmic complications
    • Fever of unknown origin, in children
    • Culture-negative endocarditis in patients with existing valve abnormalities
    • Chronic endocarditis, with vasculitis and glomerulonephritis
  • Disseminated disease is possible in immunocompromised patients, including bacteremia, disseminated skin lesions, and hepatsplenic lesions