Bartonellosis Flashcards
Bartonella baciliformis diseases
Carrion’s disease (Oroya fever, Peruvian wart)
Bartonella vector (spp in Peru)
Luzomya sandfly (L verrucarum)
Oroya fever DDx
Typhoid, malaria, brucellosis, viral hepatitis, lepto, sepsis, TB, haematological malignancies, parvo B19, haemolytic anaemias, aplastic anaemia
Peruvian wart DDx
angioma, bacillary angiomatosis, granuloma pyogenicum, KS, leprosy, fibrosarcoma, cutaneous lymphoma, reitculoendotheliosis, molluscum, checkenpox, yaws, spitz naevus
Peruvian wart Rx
azithromycin
ddx cipro, rifampin
Oroya fever Rx
cipro / chloramphenicol (also active vs salmonella which frequently coinfects)
Trench fever organism
Bartonella quintana
Trench fever vector
Human body louse, pediculus humanus humanus
Cat scratch disease organism
Bartonella henselae
Trench fever treatment
Self-limiting
Chloramphenicol
Tetracycline
Cat scratch disease vector
flea - cat - scratch/bite/lick / flea bite
Cat scratch disease treatment
Self-limited
Azithromzcin
Doxy
Intestinal naematodes
ascaris lumbricoides hookworm ancylostoma duodenales necator americanus pinworm (enterobius vermicularis) whipworm (trichuris trichiura) strongyloides stercoralis
Tissue blood naematodes
wuchereria bancrofti brugia malayi, brugia timori loa loa onchocerca volvulus mansonella ozzardi, perstands, streptocerca dracunculus medinensis
Carrion’s disease hallmarks (Oroya fever)
Haemolytic anaemia, HSMy, jaundice, cardiomeg, TC, anasarca, neurobartellonosis