Bone marrow and skin granulomatosis in a patient with Bartonella infection.

This report describes a case of granulomatous inflammation, involving the bone marrow and skin, due to Bartonella infection in an immunocompetent patient. The clinical presentation included prolonged fever, pancytopenia, rash and hepatitis. Bartonella infection should thus be added to the growing list of entities that produce marrow granulomas and fever.

[1]  Griesemer Ra,et al.  Cat-Scratch Disease , 1965, Atlas of Pediatrics in the Tropics and Resource-Limited Settings.

[2]  S. Wientroub,et al.  Cat-scratch disease-associated arthropathy. , 2005, Arthritis and rheumatism.

[3]  D. Comaneshter,et al.  Cat-scratch disease in elderly patients. , 2005, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[4]  L. Glickman,et al.  Prevalence, Risk Factors, and Genetic Diversity of Bartonella henselae Infections in Pet Cats in Four Regions of the United States , 2004, Journal of Clinical Microbiology.

[5]  M. Ephros,et al.  Long-term serological analysis and clinical follow-up of patients with cat scratch disease. , 2003, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[6]  D. Raoult,et al.  Cat Scratch Disease with Lymphadenitis, Vertebral Osteomyelitis, and Spleen Abscesses , 2003, Annals of the New York Academy of Sciences.

[7]  D. Benharroch,et al.  Isolated splenic cat scratch disease in an immunocompetent adult woman. , 2003, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[8]  J. Arrese,et al.  Skin manifestations of Bartonella infections , 2002, International journal of dermatology.

[9]  M. Ephros,et al.  Enzyme immunoassay for the diagnosis of cat-scratch disease defined by polymerase chain reaction. , 2001, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[10]  G. Verhoef,et al.  Autoimmune haemolytic anaemia triggered by Bartonella henselae infection: a case report , 2001, British journal of haematology.

[11]  S. Brenner,et al.  Unusual eruption as a presenting symptom of cat scratch disease. , 1999, Journal of the American Academy of Dermatology.

[12]  B. Anderson,et al.  Bartonella spp. as emerging human pathogens , 1997, Clinical microbiology reviews.

[13]  J. D. Roscelli,et al.  Pruritic rash associated with cat scratch disease. , 1988, Pediatrics.

[14]  H. A. Carithers Cat-scratch Disease: An Overview Based on a Study of 1,200 Patients , 1985 .

[15]  C. Johnstone,et al.  On Asking the Right Question , 1981, Journal of pastoral care.