Bartonellosis medical therapy: Difference between revisions
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:::*Preferred regimen : [[Erythromycin]] 500 mg PO qid {{or}} [[Doxycycline]] 100mg PO bid for >3 months. | :::*Preferred regimen : [[Erythromycin]] 500 mg PO qid {{or}} [[Doxycycline]] 100mg PO bid for >3 months. | ||
::* '''4.Peliosis hepatitis''' | ::* '''4.Peliosis hepatitis''' | ||
:::*Preferred regimen : [[Erythromycin]] 500 mg PO qid {{or}} [[Doxycycline]] 100 mg PO bid for 4 months. | |||
::* '''5.Oroya fever''' | |||
:::*Preferred regimen : [[Ciprofloxacin]] 500 mg PO bid for 10 days. | |||
::* '''6.Endocarditis''' | |||
:::*Preferred regimen : [[Gentamicin]] 3 mg/kg/day IV q8h for 14 days {{and}} [[Ceftriaxone]] 2 g/day IV for 6 weeks with or without [[Doxycycline]] 100 mg PO bid for 6 weeks. | |||
==References== | ==References== | ||
Revision as of 19:35, 9 July 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Medical Therapy
Pharmacotherapy
Treatment of infections caused by Bartonella species.[1][2]
| 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 |
Anti microbial regimen
- Bartonellosis[3]
- 1.Cat scratch disease
- 1.1.If extensive adenopathy
- Preferred regimen : Azithromycin 500 mg single dose
- 2.Retinitis
- Preferred regimen : Doxycycline 100 mg bid AND Rifampin 300 mg bid PO for 4-6 weeks.
- 3.Bacillary angiomatosis
- Preferred regimen : Erythromycin 500 mg PO qid OR Doxycycline 100mg PO bid for >3 months.
- 4.Peliosis hepatitis
- Preferred regimen : Erythromycin 500 mg PO qid OR Doxycycline 100 mg PO bid for 4 months.
- 5.Oroya fever
- Preferred regimen : Ciprofloxacin 500 mg PO bid for 10 days.
- 6.Endocarditis
- Preferred regimen : Gentamicin 3 mg/kg/day IV q8h for 14 days AND Ceftriaxone 2 g/day IV for 6 weeks with or without Doxycycline 100 mg PO bid for 6 weeks.
References
- ↑ Rolain JM, Brouqui P, Koehler JE, Maguina C, Dolan MJ, Raoult D (2004). "Recommendations for treatment of human infections caused by Bartonella species". Antimicrob. Agents Chemother. 48 (6): 1921–33. doi:10.1128/AAC.48.6.1921-1933.2004. PMC 415619. PMID 15155180. Unknown parameter
|month=ignored (help) - ↑ Blanco JR, Raoult D (2005). "[Diseases produced by Bartonella]". Enferm. Infecc. Microbiol. Clin. (in Spanish; Castilian). 23 (5): 313–9, quiz 320. PMID 15899181. Unknown parameter
|month=ignored (help) - ↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.