Kaufman David L, Kogelnik Andreas M, Mozayeni Robert B, Cherry Natalie A, Breitschwerdt Edward B
Open Medicine Institute Mountain View California.
Galaxy Diagnostics Research Triangle Park North Carolina.
Clin Case Rep. 2017 Apr 26;5(6):931-935. doi: 10.1002/ccr3.977. eCollection 2017 Jun.
Recently, BAPGM enrichment culture has documented bacteremia in previously healthy, "nonimmunocompromised" patients following arthropod exposures. Neurobartonellosis should be among the differential diagnoses for patients with persistent or recurrent neurological symptoms of undetermined etiology. Microbiological and immunological testing should be concurrently pursued to determine whether defective immune function accompanies bacteremia.
最近,BAPGM富集培养已证实在节肢动物暴露后,先前健康的“非免疫功能低下”患者出现菌血症。对于病因不明的持续性或复发性神经系统症状患者,神经巴尔通体病应列入鉴别诊断范围。应同时进行微生物学和免疫学检测,以确定菌血症是否伴有免疫功能缺陷。