Bartonelosis (Carrion's Disease) in the pediatric population of Peru: an overview and update
Bartonellosis, or Carrion's Disease, is an endemic and reemerging disease in Peru and Ecuador. Carrion's Disease constitutes a health problem in Peru because its epidemiology has been changing, and it is affecting new areas between the highland and the jungle. During the latest outbreaks,...
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doaj-18ef03a3e471493a9cce97ac12b798772020-11-25T03:25:17ZengElsevierBrazilian Journal of Infectious Diseases1678-43918533133910.1590/S1413-86702004000500001S1413-86702004000500001Bartonelosis (Carrion's Disease) in the pediatric population of Peru: an overview and updateErick Huarcaya0Ciro Maguiña1Rita Torres2Joan Rupay3Luis Fuentes4Universidad Peruana Cayetano HerediaUniversidad Peruana Cayetano HerediaUniversity of IllinoisUniversidad Peruana Cayetano HerediaDISA JaenBartonellosis, or Carrion's Disease, is an endemic and reemerging disease in Peru and Ecuador. Carrion's Disease constitutes a health problem in Peru because its epidemiology has been changing, and it is affecting new areas between the highland and the jungle. During the latest outbreaks, and previously in endemic areas, the pediatric population has been the most commonly affected. In the pediatric population, the acute phase symptoms are fever, anorexia, malaise, nausea and/or vomiting. The main signs are pallor, hepatomegaly, lymphadenopathies, cardiac murmur, and jaundice. Arthralgias and weight loss have also commonly been described. The morbidity and mortality of the acute phase is variable, and it is due mainly to superimposed infections or associated respiratory, cardiovascular, neurological or gastrointestinal complications. The eruptive phase, also known as Peruvian Wart, is characterized by eruptive nodes (which commonly bleed) and arthralgias. The mortality of the eruptive phase is currently extremely low. The diagnosis is still based on blood culture and direct observation of the bacilli in a blood smear. In the chronic phase, the diagnosis is based on biopsy or serologic assays. There are nationally standardized treatments for the acute phase, which consist of ciprofloxacin, and alternatively chloramphenicol plus penicillin G. However, most of the treatments are based on evidence from reported cases. During the eruptive phase the recommended treatment is rifampin, and alternatively, azithromycin or erythromycin.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702004000500001&lng=en&tlng=enBartonellosisCarrion's disease |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Erick Huarcaya Ciro Maguiña Rita Torres Joan Rupay Luis Fuentes |
spellingShingle |
Erick Huarcaya Ciro Maguiña Rita Torres Joan Rupay Luis Fuentes Bartonelosis (Carrion's Disease) in the pediatric population of Peru: an overview and update Brazilian Journal of Infectious Diseases Bartonellosis Carrion's disease |
author_facet |
Erick Huarcaya Ciro Maguiña Rita Torres Joan Rupay Luis Fuentes |
author_sort |
Erick Huarcaya |
title |
Bartonelosis (Carrion's Disease) in the pediatric population of Peru: an overview and update |
title_short |
Bartonelosis (Carrion's Disease) in the pediatric population of Peru: an overview and update |
title_full |
Bartonelosis (Carrion's Disease) in the pediatric population of Peru: an overview and update |
title_fullStr |
Bartonelosis (Carrion's Disease) in the pediatric population of Peru: an overview and update |
title_full_unstemmed |
Bartonelosis (Carrion's Disease) in the pediatric population of Peru: an overview and update |
title_sort |
bartonelosis (carrion's disease) in the pediatric population of peru: an overview and update |
publisher |
Elsevier |
series |
Brazilian Journal of Infectious Diseases |
issn |
1678-4391 |
description |
Bartonellosis, or Carrion's Disease, is an endemic and reemerging disease in Peru and Ecuador. Carrion's Disease constitutes a health problem in Peru because its epidemiology has been changing, and it is affecting new areas between the highland and the jungle. During the latest outbreaks, and previously in endemic areas, the pediatric population has been the most commonly affected. In the pediatric population, the acute phase symptoms are fever, anorexia, malaise, nausea and/or vomiting. The main signs are pallor, hepatomegaly, lymphadenopathies, cardiac murmur, and jaundice. Arthralgias and weight loss have also commonly been described. The morbidity and mortality of the acute phase is variable, and it is due mainly to superimposed infections or associated respiratory, cardiovascular, neurological or gastrointestinal complications. The eruptive phase, also known as Peruvian Wart, is characterized by eruptive nodes (which commonly bleed) and arthralgias. The mortality of the eruptive phase is currently extremely low. The diagnosis is still based on blood culture and direct observation of the bacilli in a blood smear. In the chronic phase, the diagnosis is based on biopsy or serologic assays. There are nationally standardized treatments for the acute phase, which consist of ciprofloxacin, and alternatively chloramphenicol plus penicillin G. However, most of the treatments are based on evidence from reported cases. During the eruptive phase the recommended treatment is rifampin, and alternatively, azithromycin or erythromycin. |
topic |
Bartonellosis Carrion's disease |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702004000500001&lng=en&tlng=en |
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