Granulomatous Hepatitis and Necrotizing Splenitis Due to Bartonella henselae in a Patient with Cancer: Case Report and Review of Hepatosplenic Manifestations of Bartonella Infection

Bacillary angiomatosis and the related disorders of bacillary peliosis hepatis and bacillary splenitis are manifestations of infection with Bartonella henselae and Bartonella quintana in immunocompromised persons. B. henselae infection, but not B. quintana infection, is linked to contact with cats a...

Full description

Saved in:
Bibliographic Details
Published in:Clinical infectious diseases 1996-06, Vol.22 (6), p.951-957
Main Authors: Liston, Thomas E., Koehler, Jane E.
Format: Article
Language:English
Subjects:
AIDS
Antineoplastic Agents - adverse effects
Bacterial diseases
Bacterial diseases of the digestive system and abdomen
Bartonella
Bartonella henselae
Bartonella henselae - isolation & purification
Bartonella infections
Bartonella Infections - complications
Bartonella Infections - diagnosis
Bartonella Infections - therapy
Biological and medical sciences
Breast Neoplasms - complications
Breast Neoplasms - drug therapy
Carcinoma, Ductal, Breast - complications
Carcinoma, Ductal, Breast - drug therapy
Cat scratch fever
Cats
Clinical Articles
Female
Hepatitis - complications
Hepatitis - microbiology
Human bacterial diseases
Humans
Infections
Infectious diseases
Lesions
Liver
Medical sciences
Middle Aged
Spleen
Spleen - pathology
Splenic Diseases - complications
Splenic Diseases - microbiology
Splenic Diseases - pathology
Tomography, X-Ray Computed
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Bacillary angiomatosis and the related disorders of bacillary peliosis hepatis and bacillary splenitis are manifestations of infection with Bartonella henselae and Bartonella quintana in immunocompromised persons. B. henselae infection, but not B. quintana infection, is linked to contact with cats and is presumed to cause visceral cat-scratch disease. We report a case of visceral infection by B. henselae in an adult patient with cancer who was receiving chemotherapy and had had no contact with a cat or dog. The patient—whose illness was eventually diagnosed on the basis of findings of histologic, polymerase chain reaction, and serological studies—was treated with doxycycline and rifampin, and the infection resolved. In addition, 41 cases of documented or suspected bartonella infection of the liver, spleen, or both in immunocompetent or immunocompromised hosts are reviewed.
ISSN:1058-4838
1537-6591
DOI:10.1093/clinids/22.6.951