Abstract
Bacteria of genus Bartonella are mainly hemotropic, intracellular gram-negative bacteria associated with erythrocytes and endothelial cells of mammals and other vertebrates (Anderson & Neuman, 1997; Schulein et al., 2001). Members within the genus have been expanded during last three decades with over 30 species or subspecies having been described. In addition to the well-known human pathogens B. bacilliformis (agent of Carrion's disease), B. quintana (agent of trench fever), and B. henselae (agent of cat-scratch disease), a growing number of Bartonella species, such as B. alsatica, B. elizabethae, B. grahamii, B. koehlerae, B. clarridgeiae, B. washoensis, B. vinsonii subsp. berkhoffii, B. vinsonii subsp. arupensis, B. tamiae, and B. rochalimae, have been identified as human pathogens (Kordick et al., 1997; Margileth & Baehren, 1998; Kerkhoff et al., 1999; Welch et al., 1999; Roux et al., 2000; Sander et al., 2000; Kosoy et al., 2003 & 2008; Raoult et al., 2006; Eremeeva et al., 2007). Infections caused by these microorganisms have been encountered in vertebrates of virtually all species surveyed, which to date have extended to members of at least eight different orders of mammals, including Artiodactyla, Cetacea, Carnivora, Chiroptera, Insectivora, Lagomorpha, Primates, and Rodentia (Boulouis et al., 2005; Concannon et al., 2005; Maggi et al., 2005). Results have demonstrated that the prevalence of bacteremia can range from 0 to almost 100% in vertebrate populations. Persistent infections in domestic and wild animals result in a substantial reservoir of bartonellae in nature. Several mammalian species, such as rodents, cats, and dogs are reservoir hosts of some of these pathogenic Bartonella species. However, animal reservoirs remain unknown for some newly identified human Bartonella species, such as B. tamiae and B. rochalimae. Knowledge of the transmission of Bartonella bacteria between mammalian hosts is incomplete. However, hematophagous arthropods, such as fleas, flies, lice, mites, and ticks, have been found naturally infected and are frequently implicated in transmitting Bartonella species (Baker, 1946; Garcia-Caceres & Garcia, 1991; Chomel et al., 1995& 1996; Higgins et al., 1996; Pappalardo et al., 1997; Roux & Raoult, 1999; Welch et al., 1999). Bartonella infections can cause a wide spectrum of emerging and reemerging diseases, ranging from a short-term fever that resolves quickly on its own to potentially fatal diseases with cardiovascular, nervous system, or hepatosplenic involvement (Anderson & Neuman, 1997; Koehler, 1996). These findings have shown the emerging medical importance of bartonellae. In fact, bartonella infections have become a big world-wide issue. This review
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