Neuroretinitis, Aseptic Meningitis, and Lymphadenitis Associated with Bartonella (Rochalimaea) henselae Infection in Immunocompetent Patients and Patients Infected with Human Immunodeficiency Virus Type 1

Bartonella (Rochalimaea) henselae causes a variety of diseases, including bacillary angiomatosis, peliosis hepatis, lymphadenitis, aseptic meningitis with bacteremia, and cat-scratch disease (CSD). Cases of B. henselae—related disease were collected from September 1991 through November 1993. Patient...

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Bibliographic Details
Published in:	Clinical infectious diseases Vol. 21; no. 2; pp. 352 - 360
Main Authors:	Wong, Michael T., Dolan, Matthew J., Lattuada, Charles P., Regnery, Russell L., Garcia, Maria L., Mokulis, Elizabeth C., LaBarre, RoseAnne C., Ascher, David P., Delmar, Judy A., Kelly, J. William, Leigh, Douglas R., McRae, Anne C., Reed, J. Brian, Smith, Robert E., Melcher, Gregory P.
Format:	Journal Article
Language:	English
Published:	Chicago, IL The University of Chicago Press 01-08-1995 University of Chicago Press
Subjects:	Adolescent Adult Aged AIDS/HIV Animals Anti-Bacterial Agents - therapeutic use Bacteremia Bacteremia - drug therapy Bacteremia - microbiology Bacteremia - veterinary Bacterial diseases Bacterial diseases of the nervous system. Bacterial myositis Bartonella Bartonella henselae Bartonella henselae - isolation & purification Biological and medical sciences Blood Cat Diseases - drug therapy Cat Diseases - microbiology Cat scratch fever Cat-Scratch Disease - diagnosis Cat-Scratch Disease - drug therapy Cat-Scratch Disease - microbiology Cat-Scratch Disease - veterinary Cats Child Child, Preschool Chronic fatigue syndrome Clinical Articles Female Fundus Oculi HIV Infections - complications HIV-1 Human bacterial diseases human immunodeficiency virus 1 Humans Immunocompetence Infections Infectious diseases Lymph nodes Lymphadenitis Lymphadenitis - diagnosis Lymphadenitis - drug therapy Lymphadenitis - microbiology Male Medical sciences Meningitis, Aseptic - diagnosis Meningitis, Aseptic - drug therapy Meningitis, Aseptic - microbiology Middle Aged Nervous system diseases Optic Neuritis - diagnosis Optic Neuritis - drug therapy Optic Neuritis - microbiology Retinitis Retinitis - diagnosis Retinitis - drug therapy Retinitis - microbiology Human Immunopathology Nervous system diseases Retinopathy AIDS Immune deficiency Infection Case study Eye disease Viral disease Adenopathy Central nervous system disease Bacteriosis Meningitis Retinitis
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Summary:	Bartonella (Rochalimaea) henselae causes a variety of diseases, including bacillary angiomatosis, peliosis hepatis, lymphadenitis, aseptic meningitis with bacteremia, and cat-scratch disease (CSD). Cases of B. henselae—related disease were collected from September 1991 through November 1993. Patients with suspected CSD, unexplained fever and lymphadenitis, or suspected B. henselae infection who were seen in the Infectious Diseases Clinic at Wilford Hall Medical Center (Lackland Air Force Base, TX) underwent physical and laboratory examinations. In addition to three previously described cases, 23 patients with R. henselae—related infection were identified. The patients included 19 immunocompetent individuals presenting with lymphadenitis (11), stellate neuroretinitis (5), Parinaud's oculoglandular syndrome with retinitis (1), chronic fatigue syndrome—like disease (1), and microbiologically proven adenitis without the presence of immunofluorescent antibodies to B. henselae (1) and four patients infected with human immunodeficiency virus type 1 presenting with isolated lymphadenitis (1), diffuse upper-extremity adenitis (1), neuroretinitis (1), and aseptic meningitis (1). A couple with neuroretinitis and their pet cat, a persistently fatigued patient, and a patient with Parinaud's oculoglandular syndrome were shown to have bacteremia. Tissue cultures were positive for B. henselae in three recent cases of adenitis. Twenty-two patients were exposed to cats. This series further demonstrates the similarities between B. henselae—related diseases and CSD and identifies several new syndromes due to B. henselae.
Bibliography:	Reprints or correspondence: Dr. Matthew J. Dolan, Department of Infectious Diseases/PSMI, Wilford Hall Medical Center, 2200 Bergquist Drive, Suite 1, Lackland Air Force Base, Texas 78236-5300. istex:81C20941B4DEA30CA16F536AF31C7EC9E91119AD ark:/67375/HXZ-KF6FWLHX-C ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Case Study-2 ObjectType-Feature-4 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1058-4838 1537-6591
DOI:	10.1093/clinids/21.2.352