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Carrion’s disease: more than a neglected disease

Author:
Garcia-Quintanilla, Meritxell, Dichter, Alexander A., Guerra, Humberto, Kempf, Volkhard A. J.
Source:
Parasites & vectors 2019 v.12 no.1 pp. 141
ISSN:
1756-3305
Subject:
Bartonella bacilliformis, Lutzomyia, animal diseases, dead animals, fever, humans, models, mortality, pathogenicity, pathogens, patients, skin lesions, valleys, Andes region
Abstract:
Infections with Bartonella bacilliformis result in Carrion’s disease in humans. In the first phase of infection, the pathogen causes a hemolytic fever (“Oroya fever”) with case-fatality rates as high as ~90% in untreated patients, followed by a chronical phase resulting in angiogenic skin lesions (“verruga peruana”). Bartonella bacilliformis is endemic to South American Andean valleys and is transmitted via sand flies (Lutzomyia spp.). Humans are the only known reservoir for this old disease and therefore no animal infection model is available. In the present review, we provide the current knowledge on B. bacilliformis and its pathogenicity factors, vectors, possible unknown reservoirs, established and potential infection models and immunological aspects of the disease.
Agid:
6349264