What is the incubation period of Bartonella henselae infection?

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From the Guidelines

Bartonella henselae, the causative agent of cat scratch disease, has an incubation period ranging from 3 to 30 days after exposure, as indicated by the development of a papule or pustule at the site of the scratch or bite 1. The incubation time can vary significantly among individuals, influenced by factors such as the immune status of the host, the bacterial load, and the route of entry.

  • In immunocompetent hosts, the typical presentation includes the development of a papule or pustule, followed by lymphadenopathy, which usually resolves within 1 to 6 months 1.
  • The diagnosis of Bartonella infections can be challenging due to the fastidious nature of the organism and cross-reactivity in serological tests, but methods like PCR and Warthin-Starry silver stain can aid in confirmation 1.
  • Treatment with antimicrobial agents, such as azithromycin, has shown variable results but may reduce lymph node size in some cases, with a recommended dose of 500 mg on day 1, followed by 250 mg once daily for 4 additional days for patients weighing ≥45.5 kg 1. The variability in incubation period and disease severity underscores the importance of considering Bartonella henselae in the differential diagnosis of patients presenting with lymphadenopathy and a history of cat exposure, to ensure timely and appropriate management.

From the Research

Bartonella Henselae Incubation Time

  • The incubation time of Bartonella henselae is not explicitly stated in the provided studies 2, 3, 4, 5, 6.
  • However, the studies discuss the various clinical presentations of B. henselae infection, including cat-scratch disease, bacteremia, and endocarditis 2, 3, 5, 6.
  • The studies also mention the role of the host immune response in the pathogenesis of B. henselae infection, with immunocompromised individuals being more susceptible to severe infections 3, 5.
  • Additionally, the studies discuss the diagnosis and treatment of B. henselae infections, including the use of antibiotics and the challenges of culturing the bacterium 2, 3, 4, 6.
  • Unfortunately, there is no specific information on the incubation time of Bartonella henselae in the provided studies.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Treatment of cat-scratch disease.

Current opinion in pediatrics, 2001

Research

[Bartonellosis: I. Bartonella henselae].

Annales de biologie clinique, 1998

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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