Bartonella spp. Bacteremia and Rheumatic Symptoms in Patients from Lyme Disease–endemic Region

Maggi, Ricardo G.; Mozayeni, B. Robert; Pultorak, Elizabeth L.; Hegarty, Barbara C.; Bradley, Julie M.; Correa, Maria; Breitschwerdt, Edward B.

doi:10.3201/eid1805.111366

i

Bartonella spp. Bacteremia and Rheumatic Symptoms in Patients from Lyme Disease–endemic Region

Supporting Files Public Domain

May 2012
By Maggi, Ricardo G. ; Mozayeni, B. Robert ; Pultorak, Elizabeth L. ; ...

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Alternative Title:

Emerg Infect Dis
Personal Author:

Maggi, Ricardo G. ; Mozayeni, B. Robert ; Pultorak, Elizabeth L. ; Hegarty, Barbara C. ; Bradley, Julie M. ; Correa, Maria ; Breitschwerdt, Edward B.
Description:

Bartonella spp. infection has been reported in association with an expanding spectrum of symptoms and lesions. Among 296 patients examined by a rheumatologist, prevalence of antibodies against Bartonella henselae, B. koehlerae, or B. vinsonii subsp. berkhoffii (185 [62%]) and Bartonella spp. bacteremia (122 [41.1%]) was high. Conditions diagnosed before referral included Lyme disease (46.6%), arthralgia/arthritis (20.6%), chronic fatigue (19.6%), and fibromyalgia (6.1%). B. henselae bacteremia was significantly associated with prior referral to a neurologist, most often for blurred vision, subcortical neurologic deficits, or numbness in the extremities, whereas B. koehlerae bacteremia was associated with examination by an infectious disease physician. This cross-sectional study cannot establish a causal link between Bartonella spp. infection and the high frequency of neurologic symptoms, myalgia, joint pain, or progressive arthropathy in this population; however, the contribution of Bartonella spp. infection, if any, to these symptoms should be systematically investigated.
Subjects:

Adolescent Adult Aged Aged, 80 And Over Arthritis Bacteremia Bacteria Bartonella Bartonella Infections Blood Child Child, Preschool Cross-Sectional Studies DNA Sequencing Female Humans Lyme Disease Male Middle Aged Molecular Typing Myalgia PCR Questionnaires Research Rheumatic Serotyping Young Adult
Source:

Emerg Infect Dis. 18(5):783-791.
Document Type:

Journal Article
Volume:

18
Issue:

5
Collection(s):

Emerging Infectious Diseases
Main Document Checksum:

urn:sha256:f5fd446d59cd8eedc1925de2a024c74be6b832d95c9cee2295399ab067e335c7
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https://stacks.cdc.gov/view/cdc/23907/cdc_23907_DS1.pdf
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[PDF - 245.19 KB ]

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