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M9650289.TXT
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1996-03-09
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Document 0289
DOCN M9650289
TI Neuroretinitis, aseptic meningitis, and lymphadenitis associated with
Bartonella (Rochalimaea) henselae infection in immunocompetent patients
and patients infected with human immunodeficiency virus type 1.
DT 9605
AU Wong MT; Dolan MJ; Lattuada CP Jr; Regnery RL; Garcia ML; Mokulis EC;
LaBarre RA; Ascher DP; Delmar JA; Kelly JW; et al; Department of
Infectious Diseases/PSMI, Wilford Hall Medical; Center, Lackland Air
Force Base, Texas 78236-5300, USA.
SO Clin Infect Dis. 1995 Aug;21(2):352-60. Unique Identifier : AIDSLINE
MED/96002790
AB 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.
DE Adolescence Adult Aged Animal Antibiotics/THERAPEUTIC USE
Bacteremia/DRUG THERAPY/MICROBIOLOGY/VETERINARY Bartonella
henselae/*ISOLATION & PURIF Case Report Cat Diseases/DRUG
THERAPY/MICROBIOLOGY Cat-Scratch Disease/*DIAGNOSIS/DRUG
THERAPY/MICROBIOLOGY/ VETERINARY Cats Child Child, Preschool Female
Fundus Oculi Human HIV Infections/*COMPLICATIONS *HIV-1
Immunocompetence Lymphadenitis/*DIAGNOSIS/DRUG THERAPY/MICROBIOLOGY
Male Meningitis, Aseptic/*DIAGNOSIS/DRUG THERAPY/MICROBIOLOGY Middle
Age Optic Neuritis/*DIAGNOSIS/DRUG THERAPY/MICROBIOLOGY
Retinitis/*DIAGNOSIS/DRUG THERAPY/MICROBIOLOGY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).