Bartonella bacilliformis
From IDWiki
Background
Epidemiology
- Range is essentially restricted to the Andean mountains in Peru, Ecuador, and Colombia
- Transmitted by 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