Abstract
Bartonella species have been associated with cat-scratch disease, bacillary angiomatosis, peliosis hepatitis, and meningioencephalitis. Initial attempts to culture the causative organism were unsuccessful. Culture-negative endocarditis, is now believed to be caused by B henselae or B quintana. 1 Drancourt M Birtles R Chaumentin G Vandendenesch F Etienne J Raoult D A new serotype of Bartonella henselae endocarditis and cat-scratch disease. Lancet. 1996; 347: 441-534 Summary Full Text PDF PubMed Scopus (178) Google Scholar , 2 Drancourt M Mainardi JL Brouqui P et al. Bartonella (Rochalimaea) quintana endocarditis in three homeless men. N Engl J Med. 1995; 332: 419-423 Crossref PubMed Scopus (320) Google Scholar We have observed rod-shaped structures resembling bacteria on red blood cells (RBCs) of patients with thrombotic thrombocytopenic purpura (TTP). TTP is characterised by consumptive thrombocytopenia, microangiopathic haemolytic anaemia, fever, fluctuating neurological symptoms, and progressive renal failure. 3 Rock GA Shumak KH Buskard NA et al. Comparison of plasma exchange with plasma infusion in the treatment of thrombotic thrombocytopenic purpura. Canadian Apheresis Study Group. N Engl J Med. 1991; 325: 393-397 Crossref PubMed Scopus (1507) Google Scholar
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