Schoerner C, Harrer T (2007)
Publication Type: Journal article
Publication year: 2007
Publisher: Springer Verlag (Germany)
Pages Range: 107-109
Journal Issue: 35
DOI: 10.1007/s15010-007-6021-3
Bartonella henselae, the causative agent of cat scratch disease and bacillary angiomatosis, is associated with an expanding spectrum of diseases. Here, we report on a 40-year-old patient suffering from chronic recurrent painful ulcers of the toes, distal axonal sensomotor polyneuropathy and Raynaud's phenomenon. Biopsy of the sural nerve demonstrated an axonal neuropathy with a neurogenic muscular atrophy. Treatment with high dose corticosteroids had no beneficial effect. A biopsy taken from a recurring ulcer 7 years after the beginning of the disease revealed superficial ulcerated hyperkeratosis with subepithelial proliferation of small vessels compatible with a diagnosis of verruca peruana, however, without detection of microorganism. Serologic analysis revealed an elevated IFT titer of 1:1,024 against B. henselae. Treatment with erythromycin induced healing of the ulcer, remission of the vasculitis and the polyneuropathy, and a decline of the IFT titer. This case illustrates that B. henselae infection should be considered in patients with vasculitis and polyneuropathic syndromes. © 2007 Urban & Vogel.
APA:
Schoerner, C., & Harrer, T. (2007). Chronic vasculitis and polyneuropathy due to infection with Bartonella henselae. Infection, 35, 107-109. https://doi.org/10.1007/s15010-007-6021-3
MLA:
Schoerner, Christoph, and Thomas Harrer. "Chronic vasculitis and polyneuropathy due to infection with Bartonella henselae." Infection 35 (2007): 107-109.
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