Table 1.
Date | Clinical findings | Bartonella WB and titration titers | Blood PCR | BAPGM culture PCR |
|
---|---|---|---|---|---|
Case 1 | 3 September 2012 | Temperature 39.8°C, lethargy | Negative | Negative | Negative |
5 September 2012 | Negative | Negative | |||
7 September 2012 | Negative | Negative | |||
11 October 2012 | Temperature 40.8°C, lethargy | Negative | Bh * | Bh * | |
Azithromycin 10 mg/kg for 21 days | Bh * | ||||
12 November 2012 | 1:256,000 | ||||
12 May 2013 | Titration testing | 1:16,000 (16-fold decrease) | |||
28 August 2014 | Follow-up testing |
ND | Negative | Bh † | |
30 August 2014 | ND | Negative | Negative | ||
1 September 2014 | 1:16,000 (no change) |
Negative | Negative | ||
Case 2 | 21 August 2012 | Presurgery | 1:512,000 | ||
3 September 2012 | 40.0°C, lethargy | ND | Bh* | Bh* | |
5 September 2012 | ND | Bh* | Bh* | ||
7 September 2012 | Azithromycin 10 mg/kg for 21 days |
ND | Bh* | Bh* | |
2 March 2013 | 39.8°C, lethargy anorexia | 1:512,000 | Bh* | Bh* | |
Pradofloxacin 7.5 mg/kg x 21 days | (no change) | Bh* | |||
5 September 2013 | Titration testing | 1:64,000 (eight-fold decrease) |
|||
30 May 2014 | Killed by dogs and lost to follow-up | ||||
Case 3 | 23 August 2012 | 37.7°C, lethargy anorexia neutropenia Azithromycin 10 mg/kg for 21 days | 1:64,000 | Bh* | Bh* |
7 May 2013 | Titration testing | 1:8,000 (eight-fold decrease) |
|||
28 August 2014 | Follow-up BAPGM triple blood draw and titration testing |
ND | Bh* | Bh* | |
30 August 2014 | ND | Bh* | Bh* | ||
1 September 2014 | 1:32,000 (four-fold decrease) |
Negative | Bh* |
Bartonella henselae Houston-1 strain type based upon 16S-23S intergenic spacer DNA sequences
Bartonella henselae San Antonio-2 strain type based upon 16S-23S intergenic spacer DNA sequences
ND = not determined