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Bartonella spp. as emerging human pathogens

B E Anderson1, M A Neuman

  • 1Department of Medical Microbiology and Immunology, College of Medicine, University of South Florida, Tampa 33612, USA. banderso@com.1.med.usf.edu

Clinical Microbiology Reviews
|April 1, 1997
PubMed
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Bartonella bacteria, once obscure, now cause diverse diseases from cat scratch disease to severe infections in immunocompromised individuals. Reliable laboratory diagnostics are crucial for identifying these emerging pathogens.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Bacteriology

Background:

  • Bartonella (formerly Rochalimaea) species were largely unrecognized until their association with opportunistic infections in AIDS patients.
  • Recent years have seen Bartonella linked to cat scratch disease, bacillary angiomatosis, and other significant disease syndromes.
  • Clinical manifestations of Bartonella infections vary widely, from mild lymphadenopathy to life-threatening systemic illness.

Purpose of the Study:

  • To summarize the clinical presentations associated with Bartonella infections.
  • To review the current status of laboratory diagnostic and identification methods for Bartonella species.
  • To highlight the increasing need for reliable diagnostic tools as the spectrum of Bartonella-associated diseases expands.

Main Methods:

Related Experiment Videos

  • Review of clinical case presentations and disease associations.
  • Survey of existing laboratory diagnostic techniques for Bartonella.
  • Analysis of the pathogenic mechanisms, including endothelial cell proliferation and neovascularization.

Main Results:

  • Bartonella infections present a broad clinical spectrum, impacting both immunocompetent and immunocompromised individuals.
  • A unique pathogenic feature involves endothelial cell proliferation and neovascularization in affected tissues.
  • The rise in recognized Bartonella-related diseases necessitates improved diagnostic capabilities.

Conclusions:

  • Bartonella represents a growing group of pathogens with diverse clinical implications.
  • Accurate and timely laboratory diagnosis is essential for managing Bartonella infections.
  • Further research into diagnostic methods is required to meet the clinical demand.