https://www.ncbi.nlm.nih.gov/m/pubmed/29936799/

Cat Scratch Disease in a 1.5-year-old girl – Case report.

Karski J, et al. Ann Agric Environ Med. 2018.

Abstract
INTRODUCTION: The paper is a case report presenting Cat Scratch Disease (CSD) in a 1.5-year- old girl. Bartoneloses, including CSD, are a group of infectious diseases which are rarely detected, therefore there are no statistical data concerning the aetiology, and the incidence of CSD noted in Poland is low in comparison with other European countries.

OBJECTIVE: The purpose of the paper is to discuss several problems related to CSD.

MATERIAL AND METHODS: A 1.5-year-old girl who was seen in hospital for the sparing use of her left arm when crawling. X-rays showed osteolytic lesions which radiologists described as multi-ocular cyst or infection. As neither clinical examination nor laboratory investigations found pathological signs, the patient was followed-up on an ambulant basis. Repeated x-ray taken 4 weeks later showed increased periosteal proliferation accompanied by pain. The baby was admitted to the Clinic but additional investigations found no pathologies. The baby was consulted by a rheumatologist and haematologist; however, they did not facilitate a definitive diagnosis. As the baby developed, because of a thickening of the soft tissues on the dorsal side of the distal epiphisis in the forearm the doctors decided to inspect the condition operatively. Macroscopic examination found brownish granulated tissue. Suction drainage was inserted and a tissue sample was tested for aerobic and anaerobic bacteria, tuberculosis and borelliosis. The test results were negative. The baby was in good condition, was not pyrexial and suffered from less pain. The diagnostics was further expanded and the baby tested for yersinia, chlamydia, tuberculosis and bartonella, i.e. CSD. The postoperative wound healed soon and radiological bony lesions began to resolve. After a month, we received a positive bartonella test result, the baby tested positively for Bartonella henselae IgG class, which confirmed past or active infection of CSD. A repeated test for B. henselae taken 6 months later showed a lower level of antibodies.

CONCLUSIONS: It should be remembered that CSD, which is an extremely rare infection, can be diagnosed despite mediocre clinical and radiological manifestations. Thus, in the case of infections of unexplained aetiology and mediocre manifestations diagnostics should include testing for Bartonella henselae.

PMID 29936799 [ – in process]

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**Comment**

There is little to no statistical data on Bartonella, that’s for sure, but it’s far from a rare infection & it is far from benign, in fact I would go as far to state it is prolific and devastating.  

Please note the finding of granulated tissue.  Bartonella is primarily a vascular disease and causes all sorts of bizarre symptoms – including nodules on the shins and painful soles of the feet; however, please do not underestimate the cognitive/psychological symptoms of this disease (anxiety, anger, suicidal thoughts).  It can also cause:  aseptic meningitis, neuroretinitis & other vision problems, lymphadenopathy (swollen lymph nodes), headaches, seizures, heartburn, abdominal pain, skin rash, gastritis, duodentis, mesenteric adenitis, myocarditis & endocarditis, and cysts.  

Authorities are still squabbling over whether ticks transmit this or not, but we know for sure spiders and other arachnids do as well as cat scratches, biting flies, fleas, needle stick transmission in veterinarians as well as drug users.  And just because something can’t be seen/proven in ticks, doesn’t mean it doesn’t happen.  Frankly, all it shows is the science is lagging and this is a fastidious organism which is hard to detect.  All I know is that nearly every Lyme/MSIDS patient I work with has Bart.  So either the tick transmits directly OR a previously asymptomatic case is triggered upon getting a tick bite.  Either way, WE GOT IT and it needs to be considered in each and every Lyme/MSIDS patient.

For more on Bartonella:  https://madisonarealymesupportgroup.com/2016/01/03/bartonella-treatment/  (Checklist and treatment options within this link)

Fifteen species of gram-negative aerobic Bartonella are known to infect humans; however Dr. Ricardo Maggi’s statement is quite telling, “This case reinforces the hypothesis that any Bartonella species can cause human infection.”

Dr. Mozayeni talks about Bartonella as one of the major co-infections of Lyme disease. It’s more prevalent than Lyme, as there are many more ways to contract the disease (eg. flees, cats). In a study, that Dr. Breitschwerdt and Mozayeni published in The Journal of Emerging Diseases, about 60% of Lyme patients tested positive for Bartonella. Dr. Mozayeni also talks about the importance of looking at Biofilm when treating Lyme, Bartonella etc. as biofilm can harbor many of these microbes and be the cause of many symptoms.

https://madisonarealymesupportgroup.com/2018/05/07/fox-news-bartonella-is-the-new-lyme-disease/

https://madisonarealymesupportgroup.com/2016/08/09/a-bartonella-story/

https://madisonarealymesupportgroup.com/2018/06/12/osteomyelitis-in-cat-scratch-disease-a-never-ending-dilemma-a-case-report-literature-review/

https://madisonarealymesupportgroup.com/2018/04/03/encephalopathy-in-adult-with-cat-scratch-disease/

https://madisonarealymesupportgroup.com/2018/05/09/rheumatological-presentation-of-bartonella-koehlerae-henselae-a-case-report-chiropractors-please-read/  Please note the joint popping with each articulation and continual joint subluxation issue.
Chiropractors need to be told about this. Please educate! Send them this article.  I too had this bizarre popping of the joints with a lot of instability in the knees. Treatment completely ameliorated this issue so treatment is primo important.

https://madisonarealymesupportgroup.com/2018/06/15/fleas-harbor-bartonella-13-days-post-infection-continuously-excrete-bartonella-dna/

https://madisonarealymesupportgroup.com/2018/06/20/northern-southern-ca-cats-have-bartonella-and-rickettsia-proven-by-16s-rrna-next-gen-sequencing/

https://madisonarealymesupportgroup.com/2016/12/29/cardinal-state-bartonella/