Bartonellosis, A One Health Medical Mystery (Health And Medical Video June 2018).

Disease of cat scratches, Peruvian warts, Orooy fever - all this is a disease from the group of bartonellosis.

Bartonellosis is a large group of bacterial infections, the causative agents of which are bacteria of the genus Bartonella. They affect the mucosal erythrocytes and lead to the growth of small blood vessels (angiomatosis).

By the bartonellosis are also the legendary "Peruvian warts" with the "fever of Oroya", and the worldwide "scarring disease" is spreading, and a number of other no less noisy and dangerous diseases.

The first mention of bartonellosis, as a "disease with warts," is still found on the clay documents of the Incas. It was previously thought that this is the only form of the disease that is endemic to Peru - hence the name "Peruvian Warts." Soon, however, another form was discovered - "Oroya fever". Their generosity was proven in 1885 by physician Daniel Alsides Carrion Garcia, who infected himself with bartonellosis and described the symptoms of the disease. As a result of his experiment, Carrion died, and the day of his death - October 5 - became the Day of Peruvian medicine. One of the names is the Carion disease.

Carriers of bartonellas depending on the geography and variety of the disease are Mosquitoes In Peru, Ecuador and Latin America, as well Cat fleas (Disease of cat scratches) and Dressing lice (Tranchene, trunk fever) in the USA, Europe and Ukraine.

Symptoms of Bartonellosis

The incubation period (from the time of bite to the appearance of the first symptoms) lasts from 15 to 40 days. Most often the disease proceeds in two phases.

IN The first phase (Oroya fever) The temperature fluctuates to 39-40 0 And holds for 10-30 days. Against the background of elevated temperature, major, muscle and joint pain, nausea and vomiting, insomnia, delusions are noted. Spleen and liver increase in size, development of hepatitis is possible. On the skin there are hemorrhages.

At the end of the first phase, after 3-6 months, the absence of symptoms begins Phase of Peruvian Warts. During this period, the skin is covered with a variety of rashes (spots, bleeding nodules, tubercles). This period can take 2-3 months.

Each of the two phases described can occur as a separate disease. In this case, the described symptoms for Oroya fever are much more pronounced, and the mortality reaches up to 40%.

Diagnosis and treatment

In the diagnosis, microscopic and serological analysis of strokes and biopsy samples from the skin nodes, as well as from the lymph nodes and internal organs is performed.

The disease is treated with antibiotics against a background of powerful supportive therapy.


Category Of Medical Issues: Diseases

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