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\nEnlarged lymph node resulting from cat scratch disease. Used with permission of NEJM.
\nRarely, eye infections, severe muscle pain, or encephalitis (swelling of the brain) may occur.
\nVerruga peruana, mular form. Used with permission of NEJM.
\nThis disease has two distinct phases:
\nBacillary angiomatosis (caused by B. henselae or B. quintana) and bacillary peliosis (caused by B. henselae) occur primarily in people with weakened immune systems, such as those with advanced HIV infection. Bacillary angiomatosis may result in lesions in the skin, under the skin, in bone, or in other organs. Bacillary peliosis causes sores in the liver and spleen.
\nBacillary angiomatosis. Used with permission of NEJM.
\nMany Bartonella species can cause infection of the heart valves (subacute endocarditis), which is often culture negative.
\n