2019 Sep – Oct;94(5):594-602. doi: 10.1016/j.abd.2019.09.024. Epub 2019 Oct 2.

Cutaneous manifestations of bartonellosis.


Bartonellosis are diseases caused by any kind of Bartonella species. The infection manifests as asymptomatic bacteremia to potentially fatal disorders. Many species are pathogenic to humans, but three are responsible for most clinical symptoms: Bartonella bacilliformis, Bartonella quintana, and Bartonella henselae.

Peruvian wart, caused by B. bacilliformis, may be indistinguishable from bacillary angiomatosis caused by the other two species.

Other cutaneous manifestations include maculo-papular rash in trench fever, papules or nodules in cat scratch disease, and vasculitis (often associated with endocarditis).

In addition

  • febrile morbilliform rash
  • purpura
  • urticaria
  • erythema nodosum
  • erythema multiforme
  • erythema marginatus
  • granuloma annularis
  • leukocytoclastic vasculitis
  • granulomatous reactions
  • angioproliferative reactions may occur.

Considering the broad spectrum of infection and the potential complications associated with Bartonella spp., the infection should be considered by physicians more frequently among the differential diagnoses of idiopathic conditions. Health professionals and researchers often neglected this diseases.


For more:

Dr. Ericson has incredible imaging showing Bartonella surviving around tissues where a PIC line pumped antibiotics directly into the body:

Bartonella is perhaps more tenacious than Lyme disease but hardly is mentioned in mainstream medicine.  If it’s mentioned at all, we are told it’s a rare disease that usually takes care of itself with time. Nothing could be further from the truth.