Skip to main content
Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1997 Jul;35(7):1813–1818. doi: 10.1128/jcm.35.7.1813-1818.1997

Bartonella clarridgeiae, a newly recognized zoonotic pathogen causing inoculation papules, fever, and lymphadenopathy (cat scratch disease).

D L Kordick 1, E J Hilyard 1, T L Hadfield 1, K H Wilson 1, A G Steigerwalt 1, D J Brenner 1, E B Breitschwerdt 1
PMCID: PMC229848  PMID: 9196200

Abstract

Shortly after adopting a 6-week-old cat, a veterinarian was bitten on the left index finger. Within 3 weeks, he developed headache, fever, and left axillary lymphadenopathy. Initial blood cultures from the cat and veterinarian were sterile. Repeat cultures from the cat grew Bartonella-like organisms with lophotrichous flagella. Sera from the veterinarian were not reactive against Bartonella henselae, B. quintana, or B. elizabethae antigens but were seroreactive (reciprocal titer, 1,024) against the feline isolate. Sequential serum samples from the cat were reactive against antigens of B. henselae (titer, 1,024), B. quintana (titer, 128), and the feline isolate (titer, 2,048). Phenotypic and genotypic characterization of this and six additional feline isolates, including microscopic evaluation, biochemical analysis, 16S rRNA gene sequencing, DNA-DNA hybridization, and PCR-restriction fragment length polymorphism of the 16S gene, 16S-23S intergenic spacer region, and citrate synthase gene identified the isolates as B. clarridgeiae. This is the first report of cat scratch disease associated with B. clarridgeiae.

Full Text

The Full Text of this article is available as a PDF (816.6 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson B., Kelly C., Threlkel R., Edwards K. Detection of Rochalimaea henselae in cat-scratch disease skin test antigens. J Infect Dis. 1993 Oct;168(4):1034–1036. doi: 10.1093/infdis/168.4.1034. [DOI] [PubMed] [Google Scholar]
  2. Anderson B., Sims K., Regnery R., Robinson L., Schmidt M. J., Goral S., Hager C., Edwards K. Detection of Rochalimaea henselae DNA in specimens from cat scratch disease patients by PCR. J Clin Microbiol. 1994 Apr;32(4):942–948. doi: 10.1128/jcm.32.4.942-948.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Baneth G., Kordick D. L., Hegarty B. C., Breitschwerdt E. B. Comparative seroreactivity to Bartonella henselae and Bartonella quintana among cats from Israel and North Carolina. Vet Microbiol. 1996 May;50(1-2):95–103. doi: 10.1016/0378-1135(96)00006-5. [DOI] [PubMed] [Google Scholar]
  4. Bergmans A. M., Groothedde J. W., Schellekens J. F., van Embden J. D., Ossewaarde J. M., Schouls L. M. Etiology of cat scratch disease: comparison of polymerase chain reaction detection of Bartonella (formerly Rochalimaea) and Afipia felis DNA with serology and skin tests. J Infect Dis. 1995 Apr;171(4):916–923. doi: 10.1093/infdis/171.4.916. [DOI] [PubMed] [Google Scholar]
  5. Bergmans A. M., Schellekens J. F., van Embden J. D., Schouls L. M. Predominance of two Bartonella henselae variants among cat-scratch disease patients in the Netherlands. J Clin Microbiol. 1996 Feb;34(2):254–260. doi: 10.1128/jcm.34.2.254-260.1996. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Birtles R. J., Harrison T. G., Saunders N. A., Molyneux D. H. Proposals to unify the genera Grahamella and Bartonella, with descriptions of Bartonella talpae comb. nov., Bartonella peromysci comb. nov., and three new species, Bartonella grahamii sp. nov., Bartonella taylorii sp. nov., and Bartonella doshiae sp. nov. Int J Syst Bacteriol. 1995 Jan;45(1):1–8. doi: 10.1099/00207713-45-1-1. [DOI] [PubMed] [Google Scholar]
  7. Breitschwerdt E. B., Kordick D. L., Malarkey D. E., Keene B., Hadfield T. L., Wilson K. Endocarditis in a dog due to infection with a novel Bartonella subspecies. J Clin Microbiol. 1995 Jan;33(1):154–160. doi: 10.1128/jcm.33.1.154-160.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Brenner D. J., Hollis D. G., Moss C. W., English C. K., Hall G. S., Vincent J., Radosevic J., Birkness K. A., Bibb W. F., Quinn F. D. Proposal of Afipia gen. nov., with Afipia felis sp. nov. (formerly the cat scratch disease bacillus), Afipia clevelandensis sp. nov. (formerly the Cleveland Clinic Foundation strain), Afipia broomeae sp. nov., and three unnamed genospecies. J Clin Microbiol. 1991 Nov;29(11):2450–2460. doi: 10.1128/jcm.29.11.2450-2460.1991. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Brenner D. J., McWhorter A. C., Knutson J. K., Steigerwalt A. G. Escherichia vulneris: a new species of Enterobacteriaceae associated with human wounds. J Clin Microbiol. 1982 Jun;15(6):1133–1140. doi: 10.1128/jcm.15.6.1133-1140.1982. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Brenner D. J., O'Connor S. P., Winkler H. H., Steigerwalt A. G. Proposals to unify the genera Bartonella and Rochalimaea, with descriptions of Bartonella quintana comb. nov., Bartonella vinsonii comb. nov., Bartonella henselae comb. nov., and Bartonella elizabethae comb. nov., and to remove the family Bartonellaceae from the order Rickettsiales. Int J Syst Bacteriol. 1993 Oct;43(4):777–786. doi: 10.1099/00207713-43-4-777. [DOI] [PubMed] [Google Scholar]
  11. Childs J. E., Olson J. G., Wolf A., Cohen N., Fakile Y., Rooney J. A., Bacellar F., Regnery R. L. Prevalence of antibodies to Rochalimaea species (cat-scratch disease agent) in cats. Vet Rec. 1995 May 20;136(20):519–520. doi: 10.1136/vr.136.20.519. [DOI] [PubMed] [Google Scholar]
  12. Childs J. E., Rooney J. A., Cooper J. L., Olson J. G., Regnery R. L. Epidemiologic observations on infection with Rochalimaea species among cats living in Baltimore, Md. J Am Vet Med Assoc. 1994 Jun 1;204(11):1775–1778. [PubMed] [Google Scholar]
  13. Chomel B. B., Abbott R. C., Kasten R. W., Floyd-Hawkins K. A., Kass P. H., Glaser C. A., Pedersen N. C., Koehler J. E. Bartonella henselae prevalence in domestic cats in California: risk factors and association between bacteremia and antibody titers. J Clin Microbiol. 1995 Sep;33(9):2445–2450. doi: 10.1128/jcm.33.9.2445-2450.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Clarridge J. E., 3rd, Raich T. J., Pirwani D., Simon B., Tsai L., Rodriguez-Barradas M. C., Regnery R., Zollo A., Jones D. C., Rambo C. Strategy to detect and identify Bartonella species in routine clinical laboratory yields Bartonella henselae from human immunodeficiency virus-positive patient and unique Bartonella strain from his cat. J Clin Microbiol. 1995 Aug;33(8):2107–2113. doi: 10.1128/jcm.33.8.2107-2113.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Cockerell C. J., Tierno P. M., Friedman-Kien A. E., Kim K. S. Clinical, histologic, microbiologic, and biochemical characterization of the causative agent of bacillary (epithelioid) angiomatosis: a rickettsial illness with features of bartonellosis. J Invest Dermatol. 1991 Nov;97(5):812–817. doi: 10.1111/1523-1747.ep12487507. [DOI] [PubMed] [Google Scholar]
  16. Dalton M. J., Robinson L. E., Cooper J., Regnery R. L., Olson J. G., Childs J. E. Use of Bartonella antigens for serologic diagnosis of cat-scratch disease at a national referral center. Arch Intern Med. 1995 Aug 7;155(15):1670–1676. [PubMed] [Google Scholar]
  17. Demers D. M., Bass J. W., Vincent J. M., Person D. A., Noyes D. K., Staege C. M., Samlaska C. P., Lockwood N. H., Regnery R. L., Anderson B. E. Cat-scratch disease in Hawaii: etiology and seroepidemiology. J Pediatr. 1995 Jul;127(1):23–26. doi: 10.1016/s0022-3476(95)70251-2. [DOI] [PubMed] [Google Scholar]
  18. English C. K., Wear D. J., Margileth A. M., Lissner C. R., Walsh G. P. Cat-scratch disease. Isolation and culture of the bacterial agent. JAMA. 1988 Mar 4;259(9):1347–1352. doi: 10.1001/jama.259.9.1347. [DOI] [PubMed] [Google Scholar]
  19. Jameson P., Greene C., Regnery R., Dryden M., Marks A., Brown J., Cooper J., Glaus B., Greene R. Prevalence of Bartonella henselae antibodies in pet cats throughout regions of North America. J Infect Dis. 1995 Oct;172(4):1145–1149. doi: 10.1093/infdis/172.4.1145. [DOI] [PubMed] [Google Scholar]
  20. Koehler J. E., Glaser C. A., Tappero J. W. Rochalimaea henselae infection. A new zoonosis with the domestic cat as reservoir. JAMA. 1994 Feb 16;271(7):531–535. doi: 10.1001/jama.271.7.531. [DOI] [PubMed] [Google Scholar]
  21. Kordick D. L., Breitschwerdt E. B. Relapsing bacteremia after blood transmission of Bartonella henselae to cats. Am J Vet Res. 1997 May;58(5):492–497. [PubMed] [Google Scholar]
  22. Kordick D. L., Swaminathan B., Greene C. E., Wilson K. H., Whitney A. M., O'Connor S., Hollis D. G., Matar G. M., Steigerwalt A. G., Malcolm G. B. Bartonella vinsonii subsp. berkhoffii subsp. nov., isolated from dogs; Bartonella vinsonii subsp. vinsonii; and emended description of Bartonella vinsonii. Int J Syst Bacteriol. 1996 Jul;46(3):704–709. doi: 10.1099/00207713-46-3-704. [DOI] [PubMed] [Google Scholar]
  23. Kordick D. L., Wilson K. H., Sexton D. J., Hadfield T. L., Berkhoff H. A., Breitschwerdt E. B. Prolonged Bartonella bacteremia in cats associated with cat-scratch disease patients. J Clin Microbiol. 1995 Dec;33(12):3245–3251. doi: 10.1128/jcm.33.12.3245-3251.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Olsen G. J., Overbeek R., Larsen N., Marsh T. L., McCaughey M. J., Maciukenas M. A., Kuan W. M., Macke T. J., Xing Y., Woese C. R. The Ribosomal Database Project. Nucleic Acids Res. 1992 May 11;20 (Suppl):2199–2200. doi: 10.1093/nar/20.suppl.2199. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Olson P. E., Wallace M. R., Creek J. G. Rochalimaea--a cosmopolitan zoonosis? West J Med. 1994 Oct;161(4):428–428. [PMC free article] [PubMed] [Google Scholar]
  26. Patnaik M., Peter J. B. Cat-scratch disease, Bartonella henselae, and the usefulness of routine serological testing for Afipia felis. Clin Infect Dis. 1995 Oct;21(4):1064–1064. doi: 10.1093/clinids/21.4.1064. [DOI] [PubMed] [Google Scholar]
  27. Pece S., Maffione A. B., Petruzzelli R., Greco B., Giuliani G., Partipilo M. R., Amarri S., Schettini F., Jirillo E., Fumarola D. Rochalimaea henselae organisms possess an elevated capacity of binding to peripheral blood lymphocytes from patients with cat scratch disease. Microbios. 1994;77(311):95–100. [PubMed] [Google Scholar]
  28. Raoult D., Tissot Dupont H., Enea-Mutillod M. Positive predictive value of Rochalimaea henselae antibodies in the diagnosis of cat-scratch disease. Clin Infect Dis. 1994 Aug;19(2):355–355. doi: 10.1093/clinids/19.2.355. [DOI] [PubMed] [Google Scholar]
  29. Regnery R. L., Anderson B. E., Clarridge J. E., 3rd, Rodriguez-Barradas M. C., Jones D. C., Carr J. H. Characterization of a novel Rochalimaea species, R. henselae sp. nov., isolated from blood of a febrile, human immunodeficiency virus-positive patient. J Clin Microbiol. 1992 Feb;30(2):265–274. doi: 10.1128/jcm.30.2.265-274.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Regnery R. L., Olson J. G., Perkins B. A., Bibb W. Serological response to "Rochalimaea henselae" antigen in suspected cat-scratch disease. Lancet. 1992 Jun 13;339(8807):1443–1445. doi: 10.1016/0140-6736(92)92032-b. [DOI] [PubMed] [Google Scholar]
  31. Roux V., Raoult D. Inter- and intraspecies identification of Bartonella (Rochalimaea) species. J Clin Microbiol. 1995 Jun;33(6):1573–1579. doi: 10.1128/jcm.33.6.1573-1579.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Szelc-Kelly C. M., Goral S., Perez-Perez G. I., Perkins B. A., Regnery R. L., Edwards K. M. Serologic responses to Bartonella and Afipia antigens in patients with cat scratch disease. Pediatrics. 1995 Dec;96(6):1137–1142. [PubMed] [Google Scholar]
  33. Ueno H., Muramatsu Y., Chomel B. B., Hohdatsu T., Koyama H., Morita C. Seroepidemiological survey of Bartonella (Rochalimaea) henselae in domestic cats in Japan. Microbiol Immunol. 1995;39(5):339–341. doi: 10.1111/j.1348-0421.1995.tb02210.x. [DOI] [PubMed] [Google Scholar]
  34. Wear D. J., Margileth A. M., Hadfield T. L., Fischer G. W., Schlagel C. J., King F. M. Cat scratch disease: a bacterial infection. Science. 1983 Sep 30;221(4618):1403–1405. doi: 10.1126/science.6612349. [DOI] [PubMed] [Google Scholar]
  35. Welch D. F., Pickett D. A., Slater L. N., Steigerwalt A. G., Brenner D. J. Rochalimaea henselae sp. nov., a cause of septicemia, bacillary angiomatosis, and parenchymal bacillary peliosis. J Clin Microbiol. 1992 Feb;30(2):275–280. doi: 10.1128/jcm.30.2.275-280.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
  36. Wilson K. H., Blitchington R. B., Greene R. C. Amplification of bacterial 16S ribosomal DNA with polymerase chain reaction. J Clin Microbiol. 1990 Sep;28(9):1942–1946. doi: 10.1128/jcm.28.9.1942-1946.1990. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Zangwill K. M., Hamilton D. H., Perkins B. A., Regnery R. L., Plikaytis B. D., Hadler J. L., Cartter M. L., Wenger J. D. Cat scratch disease in Connecticut. Epidemiology, risk factors, and evaluation of a new diagnostic test. N Engl J Med. 1993 Jul 1;329(1):8–13. doi: 10.1056/NEJM199307013290102. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Clinical Microbiology are provided here courtesy of American Society for Microbiology (ASM)

RESOURCES