A 22-day-old male was admitted with a 2-day history of irritability, dyspnea, jaundice, fever, and
gastrointestinal bleeding. A thin blood smear was performed, which showed the presence of
intraerythrocyte bacteria identified as Bartonella bacilliformis, and subsequently, the child was
diagnosed with Carrion’s disease. The diagnosis was confirmed by specific polymerase chain reaction.
The child was born in a non-endemic B. bacilliformis area and had not traveled to such an area before
hospitalization. However, the mother was from an endemic B. bacilliformis area, and posterior physical
examination showed the presence of a wart compatible with B. bacilliformis in semi-immune subjects.
These data support vertical transmission of B. bacilliformis.
Authors: Ximena L. Tuya; Raffo Escalante-Kanashiro; Carmen Tinco; Maria J. Pons; Verónica Petrozzi; Joaquim Ruiz; Juana del Valle
Source: American Society of Tropical Medicine and Hygiene
URL: http://hdl.handle.net/10757/335967
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