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Bartonella henselae Infection : An Uncommon Mimicker of Autoimmune Disease
Joint Authors
Metaxa, Zoi
Maritsi, Despoina N.
Vartzelis, George
Zarganis, Diagoras
Papaioannou, Georgia
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-01-17
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We present a case of a seven-year-old immunocompetent female patient who developed systemic symptoms mimicking an autoimmune rather than an infectious disease.
The patient presented with rash, biquotidian fever, night sweats, and arthralgias.
There was no antecedent history of cat contact.
Investigations showed increased inflammatory markers, leukocytosis, thrombocytosis, hypercalcemia, and raised angiotensin-converting enzyme.
Interferon-gamma releasing assay for tuberculosis infection was negative.
Abdominal imaging demonstrated multifocal lesions of the liver and spleen (later proved to be granulomata), chest X-ray showed enlarged hilar lymph nodes, and ophthalmology review revealed uveitis.
Clinical, laboratory, and imaging features pointed towards sarcoidosis.
Subsequently, raised titers (IgM 1 : 32, IgG 1 : 256) against Bartonella confirmed the diagnosis of B.
henselae infection.
She was treated with gentamycin followed by ciprofloxacin; repeat investigations showed complete resolution of findings.
The presence of hepatic and splenic lesions in children with bartonellosis is well documented.
Our case, however, exhibited certain unusual findings such as the coexistence of acute ocular and systemic involvement in an immunocompetent host.
Serological testing is an inexpensive and effective way to diagnose bartonellosis in immunocompetent patients; we suggest that bartonella serology is included in the baseline tests performed on children with prolonged fever even in the absence of contact with cats in countries where bartonellosis is prevalent.
American Psychological Association (APA)
Maritsi, Despoina N.& Zarganis, Diagoras& Metaxa, Zoi& Papaioannou, Georgia& Vartzelis, George. 2013. Bartonella henselae Infection : An Uncommon Mimicker of Autoimmune Disease. Case Reports in Pediatrics،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-493785
Modern Language Association (MLA)
Maritsi, Despoina N.…[et al.]. Bartonella henselae Infection : An Uncommon Mimicker of Autoimmune Disease. Case Reports in Pediatrics No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-493785
American Medical Association (AMA)
Maritsi, Despoina N.& Zarganis, Diagoras& Metaxa, Zoi& Papaioannou, Georgia& Vartzelis, George. Bartonella henselae Infection : An Uncommon Mimicker of Autoimmune Disease. Case Reports in Pediatrics. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-493785
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-493785