title: Bartonella henselae infection in a man with hypergammaglobulinaemia, splenomegaly and polyclonal plasmacytosis.
abstract: Bartonella henselae is an infrequently reported cause of polyclonal plasmacytosis and hypergammaglobulinaemia. We herein document B. henselae infection in a 66-year-old patient who presented with hypergammaglobulinaemia, splenomegaly with polyclonal plasmacytosis, stroke, and suspected prosthetic aortic arch infection. Clinicians should remain cognizant of the heterogeneous clinical presentations associated with bartonellosis.
authors.affiliation: Intracellular Pathogens Research Laboratory, Center for Comparative Medicine and Translational Research, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA.
authors.forename: Nandhakumar
authors.initials: N
authors.lastname: Balakrishnan
authors.affiliation: First Health Infectious Diseases, Moore Regional Hospital, 155 Memorial Drive, PO Box 3000, Pinehurst, NC, USA.
authors.forename: Jaspaul S
authors.initials: JS
authors.lastname: Jawanda
authors.affiliation: Clinical Molecular Microbiology Laboratory, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
authors.forename: Melissa B
authors.initials: MB
authors.lastname: Miller
authors.affiliation: Intracellular Pathogens Research Laboratory, Center for Comparative Medicine and Translational Research, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA.
authors.forename: Edward B
authors.initials: EB
authors.lastname: Breitschwerdt
mesh_terms: D000368:Aged; D001474:Bartonella Infections / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology*; D018416:Bartonella henselae / Q000302:isolation & purification*; D002372:Cat-Scratch Disease / Q000175:diagnosis / Q000382:microbiology; D006801:Humans; D006942:Hypergammaglobulinemia / Q000150:complications; D008297:Male; D013163:Splenomegaly / Q000150:complications