This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

H. Preston Holley, Jr, MD
Medical University of South Carolina Charleston

JAMA. 1991;266(14):1939.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.

—Drs Tappero and Koehler correctly point out that there currently is no convincing evidence that the organism that causes CSD is the same as that associated with BA. The confusion in the literature is unfortunate and I did not intend to add to it. I intentionally avoided referring to BA but did refer to two articles that described disseminated "cat-scratch disease" in immunocompromised patients.^1,2 Those articles, one written by Koehler et al,² described patients who probably had BA rather than CSD.

Two proposed agents of BA are R quintana³ and Bartonella bacilliformis.⁴ Both organisms have been distinguished from the agent of CSD using either DNA hybridization studies or 16S rRNA sequence analysis.⁵ The agent of BA has not been cultured but appears to be very closely related, if not identical, to Rochalimaea.³

Since some immunocompromised patients with BA have a history of . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?