Spach D H, Koehler J E
Division of Infectious Diseases, University of Washington, Seattle, USA.
Infect Dis Clin North Am. 1998 Mar;12(1):137-55. doi: 10.1016/s0891-5520(05)70414-1.
Bartonella-associated infections occur in immunocompetent and immunocompromised patients. The spectrum of diseases caused by Bartonella species has expanded and now includes cat-scratch disease, bacillary angiomatosis, bacillary peliosis, bacteremia, endocarditis, and trench fever. Most Bartonella-associated infections that occur in North America and Europe are caused by B. henselae or B. quintana. The domestic cat serves as the major reservoir for B. henselae; the reservoir for the modern day B. quintana infection remains unknown. Methods used to diagnose Bartonella-associated infections include histopathologic analysis of biopsy specimens, culture of tissue samples, blood culture, and serology. Available data on treatment of Bartonella-associated infections remain relatively sparse but would suggest that erythromycin or doxycycline provide the best responses.
巴尔通体相关感染可发生于免疫功能正常和免疫功能低下的患者。巴尔通体属细菌引起的疾病谱已有所扩大，目前包括猫抓病、杆菌性血管瘤病、杆菌性紫癜、菌血症、心内膜炎和战壕热。在北美和欧洲发生的大多数巴尔通体相关感染是由汉赛巴尔通体或五日热巴尔通体引起的。家猫是汉赛巴尔通体的主要储存宿主；现代五日热巴尔通体感染的储存宿主尚不清楚。用于诊断巴尔通体相关感染的方法包括活检标本的组织病理学分析、组织样本培养、血培养和血清学检查。关于巴尔通体相关感染治疗的现有数据仍然相对较少，但表明红霉素或强力霉素治疗效果最佳。
