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Full-Text Articles in Organisms

Disseminated Infection With Bartonella Henselae In A Drug-Induced Immunosuppressed Adult Causing Fever, Thrombocytopenia, And Encephalitis: Case Report, Celin Rajan, Ileana Mendez, Jacinto Kadour, Mohammed Jamal, Maria Najam Sep 2023

Disseminated Infection With Bartonella Henselae In A Drug-Induced Immunosuppressed Adult Causing Fever, Thrombocytopenia, And Encephalitis: Case Report, Celin Rajan, Ileana Mendez, Jacinto Kadour, Mohammed Jamal, Maria Najam

Research Symposium

Cat scratch disease (CSD) is caused by the bacterium Bartonella henselae, typically characterized by self-limiting regional lymphadenopathy. CSD is more prevalent in immunocompromised individuals. However, serious illness is infrequent. This case report demonstrates uncommon symptoms of disseminated Bartonella henselae infection manifesting as encephalopathy, thrombocytopenia, and septic shock.

A 62-year-old malnourished, Hispanic man presented with fever and malaise for 1 week which was associated with headache. Past medical history was significant for rheumatoid arthritis treated with prolonged, unmonitored prednisone, chronic obstructive pulmonary disease, and a history of 18 cats at home. On examination, the patient was alert and oriented, febrile, and …


Bartonella Henselea Prosthetic Valve Endocarditis Mimicking Vasculitis: A Case Report With Literature Review, Troy J. Fishman, Efrain Irizarry, Ayesha Kaleem, Robert Yancey, Uma Iyer Apr 2022

Bartonella Henselea Prosthetic Valve Endocarditis Mimicking Vasculitis: A Case Report With Literature Review, Troy J. Fishman, Efrain Irizarry, Ayesha Kaleem, Robert Yancey, Uma Iyer

HCA Healthcare Journal of Medicine

We present one of the first reported cases of Bartonella henselae prosthetic valve endocarditis, which mimicked p-antineutrophil cytoplasmic autoantibody (p-ANCA), an anti-proteinase 3 positive necrotizing glomerulonephritis caused by a cat scratch resulting in temporary dialysis. Documentation of such infections is necessary as zoonotic infections are becoming more prevalent with early identification essential for proper treatment. Although pauci-immune patterns are not a unique finding in bacterial endocarditis associated with glomerulonephritis, they are an atypical finding in Bartonella henselae endocarditis. Furthermore, p-ANCA-associated vasculitis can also be responsible for renal and cardiac disease. Because of the similar disease presentation of different etiologies (autoimmune …