Bartonella spp. Infections Identified by Molecular Methods, United States

被引:3
作者
McCormick, David W. [1 ]
Rassoulian-Barrett, Sara L. [2 ]
Hoogestraat, Daniel R. [2 ]
Salipante, Stephen J. [2 ]
SenGupta, Dhruba [2 ]
Dietrich, Elizabeth A. [1 ]
Cookson, Brad T. [2 ]
Marx, Grace E. [1 ]
Lieberman, Joshua A. [2 ]
机构
[1] Ctr Dis Control & Prevent, 3156 Rampart Rd, Ft Collins, CO 80521 USA
[2] Univ Washington, Seattle, WA USA
关键词
CAT-SCRATCH DISEASE; ENDOCARDITIS; HENSELAE; CULTURE; MANIFESTATIONS; CLARRIDGEIAE; PREVALENCE; ANTIBODIES; QUINTANA; CHILDREN;
D O I
10.3201/eid2902.221223
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Molecular methods can enable rapid identification of Bartonella spp. infections, which are difficult to diagnose by using culture or serology. We analyzed clinical test results of PCR that targeted bacterial 16S rRNA hypervariable V1-V2 regions only or in parallel with PCR of Bartonellaspecific ribC gene. We identified 430 clinical specimens infected with Bartonella spp. from 420 patients in the United States. Median patient age was 37 (range 1-79) years; 62% were male. We identified B. henselae in 77%, B. quintana in 13%, B. clarridgeiae in 1%, B. vinsonii in 1%, and B. washoensis in 1% of specimens. Eighty-three percent of specimens with B. quintana were cardiac specimens; 34% of specimens with B. henselae were lymph nodes. We detected novel or uncommon Bartonella spp. in 9 patients. Molecular diagnostic testing can identify Bartonella spp. infections, including uncommon and undescribed species, and might be particularly useful for patients who have culture-negative endocarditis or lymphadenitis.
引用
收藏
页码:467 / 476
页数:10
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