Abstract
We report an unusual case of documented Bartonella henselae genotype I from hepatic tissue in an Italian immunocompetent girl presenting with erythema nodosum and hepatic granulomata. Polymerase chain reaction (PCR) was performed on biopsied liver sample to confirm the etiologic role of B. henselae and to identify the genetic variant of this organism. A PCR on the same liver biopsy for parvovirus B19 was also positive, but the clinical meaning of this was not clear.
MeSH terms
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Anti-Bacterial Agents / therapeutic use
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Bartonella Infections / complications
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Bartonella Infections / diagnosis*
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Bartonella Infections / drug therapy
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Bartonella henselae / classification
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Bartonella henselae / genetics*
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Child, Preschool
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Clarithromycin / therapeutic use
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Erythema Nodosum / drug therapy
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Erythema Nodosum / etiology*
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Female
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Granuloma / drug therapy
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Granuloma / microbiology
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Humans
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Immunocompetence
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Liver Diseases / drug therapy
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Liver Diseases / microbiology
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Parvoviridae Infections / complications
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Parvoviridae Infections / diagnosis
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Parvoviridae Infections / genetics
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Parvovirus B19, Human / genetics*
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Polymerase Chain Reaction
Substances
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Anti-Bacterial Agents
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Clarithromycin