Figure 2.

Bartonella-Associated Cutaneous Lesions. Sixteen-year-old female student from North Carolina, with neuropsychiatric symptoms of six years’ duration. Similar, but thinner and paler, but more serpiginous, vertical red lesions were photographed in November 2017. Positive for Bartonella infection by ddPCR enrichment blood culture (Bartonella henselae and Bartonella koehlerae IFA titers of 1:128 and 1:256, respectively). She reported no history of pregnancy or rapid weight gain. Photograph of abdominal lesions provided by participant’s parents.