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).