Bartonella bacilliformis

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Bartonella bacilliformis /
Revision as of 20:32, 15 May 2020 by Aidan (talk | contribs) (initial creation with brief epidemiology and presentation)
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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

Management