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J Med Microbiol 56 (2007), 133-135; DOI: 10.1099/jmm.0.46649-0
© 2007 Society for General Microbiology
ISSN 1473-5644

Case Report

Bone marrow and skin granulomatosis in a patient with Bartonella infection

Yoav Keynan1, Evgeny Yakirevitch2, Tali Shusterman3, Erella Alter-Migdal1, Boaz Avidor4, Gabriel Weber1 and Michael Giladi4

1 Department of Internal Medicine, Infectious Disease Unit, Carmel Hospital, Haifa, Israel

2 Department of Pathology, Carmel Hospital, Haifa, Israel

3 Hematology Unit, Carmel Hospital, Haifa, Israel

4 Bernard Pridan Laboratory for Molecular Biology of Infectious Diseases, Tel Aviv Medical Center, Tel Aviv, Israel

Correspondence
Yoav Keynan
keynany{at}yahoo.com

Received 27 March 2006
Accepted 12 September 2006

This report describes a case of granulomatous inflammation, involving the bone marrow and skin, due to Bartonella infection in an immunocompetent patient. The clinical presentation included prolonged fever, pancytopenia, rash and hepatitis. Bartonella infection should thus be added to the growing list of entities that produce marrow granulomas and fever.

Abbreviations: CSD, cat scratch disease; GGT, gamma glutamyl transferase.






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