Bartonella spp. Infections Identified by Molecular Methods, United States

Molecular methods can enable rapid identification of Bartonella spp. infections, which are difficult to diagnose by using culture or serology. We analyzed clinical test results of PCR that targeted bacterial 16S rRNA hypervariable V1–V2 regions only or in parallel with PCR of Bartonella-specific ri...

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Main Authors: David W. McCormick, Sara L. Rassoulian-Barrett, Daniel R. Hoogestraat, Stephen J. Salipante, Dhruba SenGupta, Elizabeth A. Dietrich, Brad T. Cookson, Grace E. Marx, Joshua A. Lieberman
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2023-03-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/29/3/22-1223_article
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author David W. McCormick
Sara L. Rassoulian-Barrett
Daniel R. Hoogestraat
Stephen J. Salipante
Dhruba SenGupta
Elizabeth A. Dietrich
Brad T. Cookson
Grace E. Marx
Joshua A. Lieberman
author_facet David W. McCormick
Sara L. Rassoulian-Barrett
Daniel R. Hoogestraat
Stephen J. Salipante
Dhruba SenGupta
Elizabeth A. Dietrich
Brad T. Cookson
Grace E. Marx
Joshua A. Lieberman
author_sort David W. McCormick
collection DOAJ
description Molecular methods can enable rapid identification of Bartonella spp. infections, which are difficult to diagnose by using culture or serology. We analyzed clinical test results of PCR that targeted bacterial 16S rRNA hypervariable V1–V2 regions only or in parallel with PCR of Bartonella-specific ribC gene. We identified 430 clinical specimens infected with Bartonella spp. from 420 patients in the United States. Median patient age was 37 (range 1–79) years; 62% were male. We identified B. henselae in 77%, B. quintana in 13%, B. clarridgeiae in 1%, B. vinsonii in 1%, and B. washoensis in 1% of specimens. B. quintana was detected in 83% of cardiac specimens; B. henselae was detected in 34% of lymph node specimens. We detected novel or uncommon Bartonella spp. in 9 patients. Molecular diagnostic testing can identify Bartonella spp. infections, including uncommon and undescribed species, and might be particularly useful for patients who have culture-negative endocarditis or lymphadenitis.
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spelling doaj.art-4bc11362389b40f793bbefd1e23d5a1f2023-02-23T18:06:30ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592023-03-0129346747610.3201/eid2903.221223Bartonella spp. Infections Identified by Molecular Methods, United StatesDavid W. McCormickSara L. Rassoulian-BarrettDaniel R. HoogestraatStephen J. SalipanteDhruba SenGuptaElizabeth A. DietrichBrad T. CooksonGrace E. MarxJoshua A. Lieberman Molecular methods can enable rapid identification of Bartonella spp. infections, which are difficult to diagnose by using culture or serology. We analyzed clinical test results of PCR that targeted bacterial 16S rRNA hypervariable V1–V2 regions only or in parallel with PCR of Bartonella-specific ribC gene. We identified 430 clinical specimens infected with Bartonella spp. from 420 patients in the United States. Median patient age was 37 (range 1–79) years; 62% were male. We identified B. henselae in 77%, B. quintana in 13%, B. clarridgeiae in 1%, B. vinsonii in 1%, and B. washoensis in 1% of specimens. B. quintana was detected in 83% of cardiac specimens; B. henselae was detected in 34% of lymph node specimens. We detected novel or uncommon Bartonella spp. in 9 patients. Molecular diagnostic testing can identify Bartonella spp. infections, including uncommon and undescribed species, and might be particularly useful for patients who have culture-negative endocarditis or lymphadenitis. https://wwwnc.cdc.gov/eid/article/29/3/22-1223_articleBartonellabacteriaparasitesvector-borne infectionszoonosesendocarditis
spellingShingle David W. McCormick
Sara L. Rassoulian-Barrett
Daniel R. Hoogestraat
Stephen J. Salipante
Dhruba SenGupta
Elizabeth A. Dietrich
Brad T. Cookson
Grace E. Marx
Joshua A. Lieberman
Bartonella spp. Infections Identified by Molecular Methods, United States
Emerging Infectious Diseases
Bartonella
bacteria
parasites
vector-borne infections
zoonoses
endocarditis
title Bartonella spp. Infections Identified by Molecular Methods, United States
title_full Bartonella spp. Infections Identified by Molecular Methods, United States
title_fullStr Bartonella spp. Infections Identified by Molecular Methods, United States
title_full_unstemmed Bartonella spp. Infections Identified by Molecular Methods, United States
title_short Bartonella spp. Infections Identified by Molecular Methods, United States
title_sort bartonella spp infections identified by molecular methods united states
topic Bartonella
bacteria
parasites
vector-borne infections
zoonoses
endocarditis
url https://wwwnc.cdc.gov/eid/article/29/3/22-1223_article
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