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Review article| Volume 22, ISSUE 4, P937-962, December 2002

Laboratory diagnosis of Bartonella infections

      Human infections due to Bartonella species have been recognized since pre-Colombian times. Depictions of the cutaneous phase of infection with Bartonella bacilliformis, called verruga peruana, may be seen on pottery and ruins from Andean regions of South America. Alberto Barton identified B bacilliformis within erythrocytes in 1905, but this remained the sole member of the genus named for him until the early 1990s when Rochalimaea quintana (formerly Rickettsia quintana) and R henselae were reclassified as Bartonellae [
      • Karem K.L
      • Paddock C.D
      • Regnery R.L
      Bartonella henselae, B. quintana, and B. bacilliformis: historical pathogens of emerging significance.
      ]. Since that time, an increasing number of Bartonella species have been recognized in nature and currently seven have been reported to cause human disease. The majority of human infections in North America and Europe are due to two species, B henselae and B quintana [
      • Houpikian P
      • Raoult D
      16S/23S rRNA intergenic spacer regions for phylogenetic analysis, identification, and subtyping of Bartonella species.
      ]. A burgeoning volume of literature in this field describing clinical manifestations, epidemiology, phylogeny, diagnosis, and treatment has ensued. This article focuses on the use of microbiologic, serologic, and molecular means to aid in the clinical diagnosis of Bartonella infections.
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