Bartonellosis medical therapy: Difference between revisions
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==Medical Therapy== | ==Medical Therapy== | ||
===Pharmacotherapy=== | ===Pharmacotherapy=== | ||
Treatment of infections caused by ''[[Bartonella]]'' species.<ref>{{cite journal |author=Rolain JM, Brouqui P, Koehler JE, Maguina C, Dolan MJ, Raoult D |title=Recommendations for treatment of human infections caused by Bartonella species |journal=Antimicrob. Agents Chemother. |volume=48 |issue=6 |pages=1921–33 |year=2004 |month=June |pmid=15155180 |pmc=415619 |doi=10.1128/AAC.48.6.1921-1933.2004 |url=http://aac.asm.org/cgi/pmidlookup?view=long&pmid=15155180}}</ref><ref>{{cite journal |author=Blanco JR, Raoult D |title=[Diseases produced by Bartonella] |language=Spanish; Castilian |journal=Enferm. Infecc. Microbiol. Clin. |volume=23 |issue=5 |pages=313–9; quiz 320 |year=2005 |month=May |pmid=15899181 |url=http://linkinghub.elsevier.com/retrieve/pii/13074971}}</ref> | |||
{| class="wikitable" | |||
|- | |||
! Disease | |||
! Adults | |||
! Children | |||
|- | |||
| [[Cat scratch disease]] | |||
| no recommendation | |||
| no recommendation | |||
|- | |||
| [[Retinitis]] | |||
| Doxycycline + Rifampin | |||
| unknown | |||
|- | |||
| [[Trench fever]] or chronic bacteremia by B.quintana | |||
| Doxycycline + Gentamicin | |||
| unknown | |||
|- | |||
| [[Bacillary angiomatosis]] | |||
| Erythromycin or Doxycycline | |||
| Erythromycin | |||
|- | |||
| [[Peliosis hepatis]] | |||
| Erythromycin or Doxycycline | |||
| Erythromycin | |||
|- | |||
| [[Endocarditis]] | |||
| Doxycycline + Gentamicin + Rifampin or Ceftriaxone + Gentamicin | |||
| | |||
|- | |||
| [[Carrion's disease|Carrión´s disease]] (acute phase) | |||
| Ciprofloxacin or Chloramphenicol | |||
| Chloramphenicol + beta-lactam | |||
|- | |||
| [[Carrion's disease|Carrión´s disease]] (chronic phase: ''[[Verruga peruana]]'') | |||
| Rifampin or macrolides | |||
| Rifampin or macrolides | |||
|} | |||
While some authorities recommend the use of [[azithromycin]],<ref>{{cite journal |doi=10.1097/00006454-199806000-00002 |author=Bass JW |title=Prospective randomized double blind placebo-controlled evaluation of azithromycin for treatment of cat-scratch disease |journal=Pediatr. Infect. Dis. J. |volume=17 |issue=6 |pages=447–52 |year=1998 |month=June |pmid=9655532 |url=http://meta.wkhealth.com/pt/pt-core/template-journal/lwwgateway/media/landingpage.htm?issn=0891-3668&volume=17&issue=6&spage=447 |author-separator=, |author2=Freitas BC |author3=Freitas AD |display-authors=3 |last4=Sisler |first4=Cheryl L. |last5=Chan |first5=Debora S. |last6=Vincent |first6=Judy M. |last7=Person |first7=Donald A. |last8=Claybaugh |first8=John R. |last9=Wittler |first9=Robert R.}}</ref> it's difficult to gauge what, if any significant benefit, is afforded given the often self-limiting course in patients with intact immune function. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Needs overview]] | |||
[[Category:Bacterial diseases]] | [[Category:Bacterial diseases]] | ||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Disease]] | |||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
Revision as of 21:11, 11 December 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Medical Therapy
Pharmacotherapy
Treatment of infections caused by Bartonella species.[1][2]
| Disease | Adults | Children |
|---|---|---|
| Cat scratch disease | no recommendation | no recommendation |
| Retinitis | Doxycycline + Rifampin | unknown |
| Trench fever or chronic bacteremia by B.quintana | Doxycycline + Gentamicin | unknown |
| Bacillary angiomatosis | Erythromycin or Doxycycline | Erythromycin |
| Peliosis hepatis | Erythromycin or Doxycycline | Erythromycin |
| Endocarditis | Doxycycline + Gentamicin + Rifampin or Ceftriaxone + Gentamicin | |
| Carrión´s disease (acute phase) | Ciprofloxacin or Chloramphenicol | Chloramphenicol + beta-lactam |
| Carrión´s disease (chronic phase: Verruga peruana) | Rifampin or macrolides | Rifampin or macrolides |
While some authorities recommend the use of azithromycin,[3] it's difficult to gauge what, if any significant benefit, is afforded given the often self-limiting course in patients with intact immune function.
References
- ↑ Rolain JM, Brouqui P, Koehler JE, Maguina C, Dolan MJ, Raoult D (2004). "Recommendations for treatment of human infections caused by Bartonella species". Antimicrob. Agents Chemother. 48 (6): 1921–33. doi:10.1128/AAC.48.6.1921-1933.2004. PMC 415619. PMID 15155180. Unknown parameter
|month=ignored (help) - ↑ Blanco JR, Raoult D (2005). "[Diseases produced by Bartonella]". Enferm. Infecc. Microbiol. Clin. (in Spanish; Castilian). 23 (5): 313–9, quiz 320. PMID 15899181. Unknown parameter
|month=ignored (help) - ↑ Bass JW; Freitas BC; Freitas AD; et al. (1998). "Prospective randomized double blind placebo-controlled evaluation of azithromycin for treatment of cat-scratch disease". Pediatr. Infect. Dis. J. 17 (6): 447–52. doi:10.1097/00006454-199806000-00002. PMID 9655532. Unknown parameter
|month=ignored (help); Unknown parameter|author-separator=ignored (help)