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Rochalimaea Infections: Title and subTitle BreakAre They Zoonoses? FREE

Lucy S. Tompkins, MD, PhD
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JAMA. 1994;271(7):553-554. doi:10.1001/jama.1994.03510310083044
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Rochalimaea are gram-negative bacteria that are recently discovered agents of new clinical syndromes, including bacillary angiomatosis (BA) and bacillary peliosis hepatis, and two well-known diseases, cat scratch disease (CSD) and trench fever. Trench fever, first described as an epidemic infection in World War I, was attributed to louse-borne Rochalimaea quintana infections, which were thought to be quite rare in the United States. Rochalimaea henselae is a newly described member of the genus,1 very closely related to R quintana, and was first shown to be a causative agent of BA,2 peliosis hepatis,3,4 and a febrile bacteremia syndrome5 in 1990. Recent studies have also demonstrated that R quintana infection can also produce BA in patients who have tested positive for the human immunodeficiency virus.6Rochalimaea henselae may also cause a syndrome resembling trench fever in immunocompetent individuals exposed to tick bites,7 and a few patients without

REFERENCES

Regnery RI, Anderson BE, Clarridge JE III, Rodriguez-Barradas MC, Jones DC, Carr JH.  Characterization of a novel Rochalimaea species, R. henselae sp. nov., isolated from blood of a febrile, HIV-positive patient. J Clin Microbiol . 1992;;30:265-274.
Relman DA, Loutit JS, Schmidt TM, Falkow S, Tompkins LS.  The agent of bacillary angiomatosis: an approach to the identification of uncultured pathogens. N Engl J Med . 1990;;323:1573-1580.
Perkocha LA, Geaghan SM, Yen TSB, et al.  Clinical and pathological features of bacillary peliosis hepatis in association with human immunodeficiency virus infection. N Engl J Med . 1990;;323:1581-1586.
Relman DA, Falkow S, LeBoit PE, et al.  The organism causing bacillary angiomatosis, peliosis hepatis, and fever and bacteremia in immunocompromised patients. N Engl J Med . 1991;;324:1514.
Slater LN, Welch DF, Hensel D, Coody DW.  A newly recognized fastidious gram-negative pathogen as a cause of fever and bacteremia. N Engl J Med . 1990;;323:1587-1593.
Koehler JE, Quinn FD, Berger TG, LeBoit PE, Tappero JW.  Isolation of Rochalimaea species from cutaneous and osseous lesions of bacillary angiomatosis. N Engl J Med . 1992;;327:1625-1631.
Lucey D, Dolan MJ, Moss CW, et al.  Relapsing illness due to Rochalimaea henselae in immunocompetent hosts: implication for therapy and new epidemiological associations. Clin Infect Dis . 1992;;14:683-688.
Tappero JW, Koehler JE, Berger TG, et al.  Bacillary angiomatosis and bacillary splenitis in immunocompetent adults. Ann Intern Med . 1993;;118:363-365.
Zangwill KM, Hamilton DH, Perkins BA, et al.  Cat scratch disease in Connecticut: epidemiology, risk factors, and evaluation of a new diagnostic test. N Engl J Med . 1993;;329:8-13.
Tappero JW, Mohle-Boetani J, Koehler JE, et al.  The epidemiology of bacillary angiomatosis and bacillary peliosis. JAMA . 1993;;269:770-775.
Koehler JE, Glaser CA, Tappero JW.  Rochalimaea henselae infection: a new zoonosis with the domestic cat as reservoir. JAMA . 1994;;271:531-535.
Jackson LA, Perkins BA, Wenger JD.  Cat scratch disease in the United States. Am J Public Health . 1993;;83:1707-1711.
Swift J.  On Poetry: A Rhapsody [1733].  In: Bartlett J. Familiar Quotations . 15th ed. Boston, Mass: Little Brown & Co; 1980;:322.

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Regnery RI, Anderson BE, Clarridge JE III, Rodriguez-Barradas MC, Jones DC, Carr JH.  Characterization of a novel Rochalimaea species, R. henselae sp. nov., isolated from blood of a febrile, HIV-positive patient. J Clin Microbiol . 1992;;30:265-274.
Relman DA, Loutit JS, Schmidt TM, Falkow S, Tompkins LS.  The agent of bacillary angiomatosis: an approach to the identification of uncultured pathogens. N Engl J Med . 1990;;323:1573-1580.
Perkocha LA, Geaghan SM, Yen TSB, et al.  Clinical and pathological features of bacillary peliosis hepatis in association with human immunodeficiency virus infection. N Engl J Med . 1990;;323:1581-1586.
Relman DA, Falkow S, LeBoit PE, et al.  The organism causing bacillary angiomatosis, peliosis hepatis, and fever and bacteremia in immunocompromised patients. N Engl J Med . 1991;;324:1514.
Slater LN, Welch DF, Hensel D, Coody DW.  A newly recognized fastidious gram-negative pathogen as a cause of fever and bacteremia. N Engl J Med . 1990;;323:1587-1593.
Koehler JE, Quinn FD, Berger TG, LeBoit PE, Tappero JW.  Isolation of Rochalimaea species from cutaneous and osseous lesions of bacillary angiomatosis. N Engl J Med . 1992;;327:1625-1631.
Lucey D, Dolan MJ, Moss CW, et al.  Relapsing illness due to Rochalimaea henselae in immunocompetent hosts: implication for therapy and new epidemiological associations. Clin Infect Dis . 1992;;14:683-688.
Tappero JW, Koehler JE, Berger TG, et al.  Bacillary angiomatosis and bacillary splenitis in immunocompetent adults. Ann Intern Med . 1993;;118:363-365.
Zangwill KM, Hamilton DH, Perkins BA, et al.  Cat scratch disease in Connecticut: epidemiology, risk factors, and evaluation of a new diagnostic test. N Engl J Med . 1993;;329:8-13.
Tappero JW, Mohle-Boetani J, Koehler JE, et al.  The epidemiology of bacillary angiomatosis and bacillary peliosis. JAMA . 1993;;269:770-775.
Koehler JE, Glaser CA, Tappero JW.  Rochalimaea henselae infection: a new zoonosis with the domestic cat as reservoir. JAMA . 1994;;271:531-535.
Jackson LA, Perkins BA, Wenger JD.  Cat scratch disease in the United States. Am J Public Health . 1993;;83:1707-1711.
Swift J.  On Poetry: A Rhapsody [1733].  In: Bartlett J. Familiar Quotations . 15th ed. Boston, Mass: Little Brown & Co; 1980;:322.
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