Bartonella
| Headline | |
|---|---|
| Etiology | Classically from cat bite/scratch. Facultative intracellular bacterium. |
| Epidemiology | |
| Clinical presentation | Cat scratch disease: Papular/pustular lesion 3-10 days after exposure, RUQ pain (liver involvement), painless acute vision loss Trench fever: retro-orbital headache, macpap rash Oroya fever: hepatosplenomegaly, bony pain, regional lymphadenopathy Complications: |
| Pathogenesis | |
| Diagnostic investigations | Blood culture and serology |
| Management | Infective endocarditis: ceftriaxone/metronidazole/gentamicin Trench fever: doxy/gentamicin |
| Prevention | Wash hands after petting cats especially if immunocompromised... Vet r/v to treat bartonellosis in pet cats Sandflies - insect repellent Lice - Household hygiene |