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Possible Vertical Transmission of Bartonella bacilliformis in Peru

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  • Facultad de Ciencias de la Salud, Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Peru; Unidad de Cuidados Intensivos, Instituto Nacional de Salud del Niño, Lima, Peru; Barcelona Centre for International Health Research (Hospital Clinic, Universitat de Barcelona), Barcelona, Spain
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A 22-day-old male was admitted with a 2-day history of irritability, dyspnea, jaundice, fever, and gastrointestinal bleeding. A thin blood smear was performed, which showed the presence of intraerythrocyte bacteria identified as Bartonella bacilliformis, and subsequently, the child was diagnosed with Carrion's disease. The diagnosis was confirmed by specific polymerase chain reaction. The child was born in a non-endemic B. bacilliformis area and had not traveled to such an area before hospitalization. However, the mother was from an endemic B. bacilliformis area, and posterior physical examination showed the presence of a wart compatible with B. bacilliformis in semi-immune subjects. These data support vertical transmission of B. bacilliformis.

Author Notes

* Address correspondence to Juana del Valle, Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Avda. San Marcos cuadra 2, Chorrillos, Lima, Perú. E-mail: jdelvall@upc.edu.pe
† These authors contributed equally.

Financial support: This study was partially supported by Instituto de Salud Carlos III (ISCIII) Grant PI11/00983 and the UBS Optimus Foundation. M.J.P. has a postdoctoral fellowship from Consejo Nacional de Ciencia, Tecnología e Innovacion Tecnológica (CONCYTEC). J.R. has a fellowship from Program I3 of the ISCIII (Grant CES11/012).

Authors' addresses: Ximena L. Tuya, Carmen Tinco, Maria J. Pons, Verónica Petrozzi, and Juana del Valle, Escuela de Medicina, Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Lima, Peru, E-mails: xime_lais_tf@hotmail.com, carmenrosatv@gmail.com, ma.pons.cas@gmail.com, veronicapetrozzi@yahoo.com, and jdelvall@upc.edu.pe. Raffo Escalante-Kanashiro, Unidad de Cuidados Intensivos, Instituto Nacional de Salud del Niño, Lima, Peru, E-mail: rescalante@insn.gob.pe. Joaquim Ruiz, Barcelona Centre for International Health Research (Hospital Clinic, Universitat de Barcelona), Barcelona, Spain and Escuela de Medicina, Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Lima, Peru, E-mail: joruiz@clinic.ub.es.

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