Rheumatological presentation of Bartonella koehlerae and Bartonella henselae bacteremias: A case report.

Abstract:

INTRODUCTION:Systemic Bartonella spp. infections are being increasingly reported in association with complex medical presentations. Individuals with frequent arthropod exposures or animal contact appear to be at risk for acquiring long standing infections with Bartonella spp. CASE REPORT:This case report describes infections with Bartonella koehlerae and Bartonella henselae in a female veterinarian whose symptoms were predominantly rheumatologic in nature. Infection was confirmed by serology, polymerase chain reaction (PCR), enrichment blood culture, and DNA sequencing of amplified B koehlerae and B henselae DNA. Long-term medical management with antibiotics was required to achieve elimination of these infections and was accompanied by resolution of the patient's symptoms. Interestingly, the patient experienced substantial improvement in the acquired joint hypermobility mimicking Ehlers-Danlos Syndrome (EDS) type III. CONCLUSION:To facilitate early and directed medical interventions, systemic bartonellosis should potentially be considered as a differential diagnosis in patients with incalcitrant rheumatological symptoms and frequent arthropod exposures or extensive animal contact.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Mozayeni BR,Maggi RG,Bradley JM,Breitschwerdt EB

doi

10.1097/MD.0000000000010465

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

e0465

issue

17

eissn

0025-7974

issn

1536-5964

pii

00005792-201804270-00032

journal_volume

97

pub_type

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