Two-year history of lymphadenopathy and fever caused by Bartonella henselae in a child

We report the case of a 6-year-old boy that presented with enlarged lymph nodes on his neck. He complained of tiredness and discouragement, which worsened during feverish periods. There were no relevant laboratory test abnormalities and serological tests were not reactive. Bartonella henselae DNA wa...

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Detalles Bibliográficos
Autores: Maria, Helga Kaiser Sanches de, Gazzoli, Emily, Drummond, Marina Rovani, Almeida, Amanda Roberta de, Santos, Luciene Silva dos, Pereira, Ricardo Mendes, Tresoldi, Antonia Terezinha, Velho, Paulo Eduardo Neves Ferreira
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Brasil
Institución:Instituto de Medicina Tropical (IMT)
Repositorio:Revista do Instituto de Medicina Tropical de São Paulo
Idioma:inglés
OAI Identifier:oai:revistas.usp.br:article/195250
Acceso en línea:https://www.revistas.usp.br/rimtsp/article/view/195250
Access Level:acceso abierto
Palabra clave:Bartonella
Diagnosis
Bartonellosis
Lymphadenopathy
Fever of unknown origin
Descripción
Sumario:We report the case of a 6-year-old boy that presented with enlarged lymph nodes on his neck. He complained of tiredness and discouragement, which worsened during feverish periods. There were no relevant laboratory test abnormalities and serological tests were not reactive. Bartonella henselae DNA was detected by species-specific nested polymerase chain reaction. After treatment, the patient progressed with no fever or lymphadenopathy. Bartonellosis is a group of infectious diseases caused by bacteria of the genus Bartonella. This case report is a useful reminder to clinicians that long-term fever of unknown origin can be related to B. henselae infection, even if the specific serology is not reactive.