The expanded spectrum of bartonellosis in children

Bartonella spp are emerging infectious agents; in particular, B henselae infection occurs in early childhood, is generally asymptomatic, and in most cases revolves spontaneously. It may, however, produce a wide spectrum of clinical symptoms, the most frequent feature being the typical CSD. Disseminated atypical B henselae infection may follow CSD after a symptom-fee period or may present de novo; in these cases diagnosis may be difficult because clinical features may mimic a large spectrum of disorders. A careful clinical history researching an intimate contact with a kitten associated with a specific serology and an abdominal ultrasound for typical hepatosplenic involvement may allow a rapid and accurate diagnosis, reassuring the family of the child and avoiding expensive and invasive diagnostic procedures. © 2005 Elsevier Inc. All rights reserved.