University of Manitoba, Winnipeg, Manitoba, Canada.
University of Alberta, Edmonton, Alberta, Canada.
PLoS Negl Trop Dis. 2022 May 26;16(5):e0010399. doi: 10.1371/journal.pntd.0010399. eCollection 2022 May.
We describe a case of Bartonella quintana endocarditis in an 11-year-old child from Northern Manitoba, Canada. This case demonstrates the neglected endemicity of B. quintana in Northern Canada and highlights the need for improved case finding and elucidation of specific risk factors for B. quintana infection in the Canadian North. Considering B. quintana's predominant transmission via body lice ectoparasitosis, we hypothesize that B. quintana's endemicity in Northern Canada is linked to inadequate access to suitable housing and running water among remote communities in the Canadian North.
我们描述了一例来自加拿大马尼托巴省北部的 11 岁儿童的巴尔通体 quintana 心内膜炎。该病例表明巴尔通体 quintana 在加拿大北部被忽视的地方性流行,并强调需要改进病例发现,并阐明加拿大北部巴尔通体 quintana 感染的具体危险因素。考虑到巴尔通体 quintana 主要通过体虱外寄生虫病传播,我们假设加拿大北部巴尔通体 quintana 的地方性流行与加拿大北部偏远社区缺乏适当的住房和自来水有关。