Treatment
Treatment of infections caused by Bartonella species.
| Disease | Adults | Children |
|---|---|---|
| Cat scratch disease | no recommendation | no recommendation |
| Retinitis | Doxycycline + Rifampin | unknown |
| Trench fever or chronic bacteremia by B.quintana | Doxycycline + Gentamicin | unknown |
| Bacillary angiomatosis | Erythromycin or Doxycycline | Erythromycin |
| Peliosis hepatis | Erythromycin or Doxycycline | Erythromycin |
| Endocarditis | Doxycycline + Gentamicin + Rifampin or Ceftriaxone + Gentamicin | |
| Carrión´s disease (acute phase) | Ciprofloxacin or Chloramphenicol | Chloramphenicol + beta-lactam |
| Carrión´s disease (chronic phase: Verruga peruana) | Rifampin or macrolides | Rifampin or macrolides |
While some authorities recommend the use of azithromycin, it's difficult to gauge what, if any significant benefit, is afforded given the often self-limiting course in patients with intact immune function.
Read more about this topic: Bartonellosis
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