Maurin M, Stein A, Raoult D
Unité des rickettsies, CNRS EP J 0054, faculté de médecine, Marseille.
Rev Prat. 1994 Apr 1;44(7):865-9.
Originally limited to trench fever, infections due to Rochalimaea now comprise manifestations particular to patients with human immunodeficiency virus (bacillary angiomatosis and hepatic peliosis), but also manifestations as diverse as isolated fever, septicaemia, endocarditis, lymphocytic meningitis, or central neurological disorders, in immunodepressed or immunocompetent subjects. The involvement of Rochalimaea in cat-scratch fever remains debated. Microbiological analysis used for diagnosis has been modified to allow isolation of these new bacteria, whose culture is slow and difficult, in the course of the above-cited clinical manifestations, which should further extend the range of Rochalimaea infections.
罗卡利马氏体感染最初仅限于战壕热，如今在感染人类免疫缺陷病毒的患者中可引发多种表现（杆菌性血管瘤和肝紫癜），在免疫抑制或免疫功能正常的个体中还可引发诸如持续发热、败血症、心内膜炎、淋巴细胞性脑膜炎或中枢神经系统疾病等多种不同表现。罗卡利马氏体是否与猫抓热有关仍存在争议。用于诊断的微生物学分析方法已有所改进，以便在上述临床表现过程中分离出这些新细菌，这些细菌培养缓慢且困难，这可能会进一步扩大罗卡利马氏体感染的范围。
