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Case Reports
. 2017 Sep 4:59:e62.
doi: 10.1590/S1678-9946201759062.

Chronic lymphadenopathy caused by a Brazilian strain of Bartonella henselae

Paulo Eduardo Neves Ferreira Velho  1 , Marina Rovani Drummond  1 , Marcio Antonio Haro Adad  1 , Maria Letícia Cintra  1 , Stanley Sowy  2 , Pedro Paulo Vissotto de Paiva Diniz  2
Affiliations
Case Reports

Chronic lymphadenopathy caused by a Brazilian strain of Bartonella henselae

Paulo Eduardo Neves Ferreira Velho et al. Rev Inst Med Trop Sao Paulo. .

Abstract

Bartonella henselae is a relevant causative agent of bartonelloses in humans. We described an immunocompetent patient with clinical manifestation of chronic cervical lymphadenopathy after a cat-scratch in her forearm. This case shows B. henselae infection persistence even after prolonged antibiotic treatment.

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Figures

Figure 1
Figure 1. - Right and left cervical regions of the neck, respectively, showing site scarring from suppuration and lymphadenopathy
Figure 2
Figure 2. Phylogenetic tree of the 16S–23S rRNA ITS region (top) and Pap31 gene (bottom) of Bartonella species closely related to the DNA sequences obtained from this patient. The phylogenetic tree was based on 579 bp sequences of the 16S–23S rRNA Intergenic Transcribed Spacer (ITS) region and on 448 bp sequences of the bacteriophage associated heme-binding protein Pap31 gene of selected Bartonella henselae strains and closely related species by using the Maximum Likelihood method based on the Kimura-Nei model. Each bacterial name is followed by the isolation source and geographic origin, and the GenBank accession number is provided in parentheses. The numbers at the nodes indicate percentages of bootstrap support based on 1,000 replicates. The scale bar indicates 0.01 and 0.005 substitutions per nucleotide position for the ITS region and the Pap31 gene, respectively. Phylogenetic analyses were conducted with MEGA7
See this image and copyright information in PMC

References

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