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Bartonella
henselae infection in children |
In addition to being more prevalent in children, CSD is also
of more concern in children than in immunocompetent adults because:
- Bartonella henselae infection in children can induce
prolonged fevers, fevers-of-unknown-origin (FUO), and/or systemic
spread of the organism (e.g., to abdominal lymph nodes, liver,
spleen, bones).
- In one study in 1998, B. henselae was ultimately found
to be responsible for almost 5% of FUOs in children. (Jacobs
and Schutze, 1998)
- Children with CSD may develop encephalitis 1-6 weeks after
the onset of lymphadenopathy.
- Children may also develop "Parinaud's oculoglandular syndrome"
(ocular granuloma or conjunctivitis and preauricular lymphadenopathy)
following inoculation of B. henselae into the conjunctiva.
