Table 3.
Patient | Date | IFA Reciprocal Titers | PCR Results | ||||
---|---|---|---|---|---|---|---|
B. koehlerae | B. henselae | Bvb II | R. rickettsii | ITS PCR | rpoB PCR | ||
10-2008 | 64 | <16 | <16 | <16 | Bvb*,a | Neg | |
1 | 02-2009** | <16 | <16 | <16 | <16 | B. koehleraea | B.koehleraea |
1 | 04-2009** | <16 | <16 | <16 | <16 | Bsppb | Neg |
2 | 03-2009 | <16 | <16 | 32 | 64 | B. koehleraec | B.koehleraea |
2 | 04-2009 | NA | NA | NA | NA | Neg | Neg |
2 | 07-2009** | <16 | <16 | <16 | 16 | B. koehleraea | Neg |
2 | 10-2009** | <16 | <16 | <16 | <16 | Neg | Neg |
3 | 03-2009 | 64 | <16 | 64 | <16 | B. koehleraea | B.koehleraea |
3 | 04-2009 | NA | NA | NA | NA | B. koehleraec | Neg |
3 | 05-2009** | 64 | <16 | 32 | <16 | Neg | Bvb*,a |
3 | 08-2009** | 256 | <16 | 16 | <16 | Neg | Neg |
3 | 09-2009** | <16 | <16 | <16 | <16 | Neg | Neg |
4 | 4-13-2009 | <16 | <16 | <16 | 32 | B. koehleraeb | Neg |
4 | 4-30-2009** | <16 | <16 | <16 | <16 | Neg | Bvb*,a |
4 | 6-02-2009** | <16 | <16 | 32 | <16 | Neg | Neg |
4 | 6-09-2009** | <16 | <16 | 64 | 16 | Neg | Neg |
4 | 6-30-2009** | 64 | <16 | 64 | <16 | Neg | Neg |
5 | 05-2009 | NA | NA | NA | NA | B. koehleraea | B.koehleraea |
6 | 05-2009 | NA | NA | NA | NA | B. koehleraea | B.koehleraea |
7 | 04-2009 | 64 | <16 | 32 | 128 | B. koehleraeb | Neg |
7 | 06-2009 | 64 | <16 | 64 | 64 | Neg | Bvb*,a |
7 | 07-2009 | 64 | <16 | <16 | 64 | B. henselaea | Neg |
7 | 11-2009** | 256 | <16 | <16 | 16 | B. henselaea | Neg |
8 | 04-2009 | 64 | <16 | <16 | 16 | B. koehleraeb | Neg |
8 | 05-2009 | 64 | <16 | <16 | <16 | B. koehleraea | B.koehleraea |
8 | 07-2009 | 64 | <16 | <16 | 32 | Neg | Neg |
8 | 08-2009 | <16 | <16 | 32 | <16 | Neg | Neg |
All ITS and rpoB PCR amplicons were sequenced to confirm genus and species identity.
*Bvb = Bartonella vinsonii subsp. berkhoffii genotype II
Bspp = amplicon generated with 16S-23 S ITS primers, but unable to obtain a DNA sequence.
** Denotes post-antibiotic testing. NA = Sample not available.
a = amplicon sequenced from blood or serum
b = amplicon sequenced from BAPGM enrichment blood culture
c = amplicons sequenced from both blood and BAPGM enrichment blood culture