PMID- 28669017 OWN - NLM STAT- MEDLINE DCOM- 20180612 LR - 20181113 IS - 1435-4373 (Electronic) IS - 0934-9723 (Linking) VI - 36 IP - 11 DP - 2017 Nov TI - Bartonella henselae is usually not viable in lymph nodes of patients with cat scratch disease. PG - 2207-2213 LID - 10.1007/s10096-017-3047-z [doi] AB - Bartonella henselae, the agent of cat scratch disease (CSD), appears to be a common organism responsible for lymphadenitis in both adults and children. There is a very low isolation rate for B. henselae from lymph nodes of patients with CSD. Our objective was to evaluate B. henselae viability in a large series of lymph nodes from patients with CSD. From January to November 2016, we analyzed lymph node biopsy samples from patients diagnosed with CSD. We used reverse transcription-quantitative polymerase chain reaction (RT-qPCR) to detect B. henselae RNA, as well as cultures, histological analyses, and fluorescence in situ hybridization (FISH). We tested 87 lymph nodes positive for B. henselae DNA but only 8 (9%) presented with B. henselae RNA. We did not find a significant difference for the pap threshold cycle (C(T)) values between RNA-positive and RNA-negative lymph nodes (p = 0.5). Cultures, histological analyses, and FISH were negative for all the tested samples. We provide evidence that B. henselae are not or are rarely viable in most cases in the lymph nodes of patients with CSD. FAU - Prudent, E AU - Prudent E AD - URMITE, Aix Marseille Universite, UM63, CNRS 7278, IRD 198, INSERM 1095, IHU - Mediterranee Infection, 19-21 Boulevard Jean Moulin, 13385, Marseille Cedex 05, France. FAU - Lepidi, H AU - Lepidi H AD - URMITE, Aix Marseille Universite, UM63, CNRS 7278, IRD 198, INSERM 1095, IHU - Mediterranee Infection, 19-21 Boulevard Jean Moulin, 13385, Marseille Cedex 05, France. FAU - Audoly, G AU - Audoly G AD - URMITE, Aix Marseille Universite, UM63, CNRS 7278, IRD 198, INSERM 1095, IHU - Mediterranee Infection, 19-21 Boulevard Jean Moulin, 13385, Marseille Cedex 05, France. FAU - La Scola, B AU - La Scola B AD - URMITE, Aix Marseille Universite, UM63, CNRS 7278, IRD 198, INSERM 1095, IHU - Mediterranee Infection, 19-21 Boulevard Jean Moulin, 13385, Marseille Cedex 05, France. FAU - Fournier, P-E AU - Fournier PE AD - URMITE, Aix Marseille Universite, UM63, CNRS 7278, IRD 198, INSERM 1095, IHU - Mediterranee Infection, 19-21 Boulevard Jean Moulin, 13385, Marseille Cedex 05, France. FAU - Edouard, S AU - Edouard S AD - URMITE, Aix Marseille Universite, UM63, CNRS 7278, IRD 198, INSERM 1095, IHU - Mediterranee Infection, 19-21 Boulevard Jean Moulin, 13385, Marseille Cedex 05, France. FAU - Angelakis, E AU - Angelakis E AD - URMITE, Aix Marseille Universite, UM63, CNRS 7278, IRD 198, INSERM 1095, IHU - Mediterranee Infection, 19-21 Boulevard Jean Moulin, 13385, Marseille Cedex 05, France. FAU - Raoult, D AU - Raoult D AD - URMITE, Aix Marseille Universite, UM63, CNRS 7278, IRD 198, INSERM 1095, IHU - Mediterranee Infection, 19-21 Boulevard Jean Moulin, 13385, Marseille Cedex 05, France. Didier.raoult@gmail.com. LA - eng PT - Journal Article DEP - 20170702 PL - Germany TA - Eur J Clin Microbiol Infect Dis JT - European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology JID - 8804297 RN - 0 (RNA, Bacterial) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Bartonella henselae/genetics/growth & development/*isolation & purification MH - Cat-Scratch Disease/*microbiology MH - Child MH - Child, Preschool MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Lymph Nodes/*microbiology MH - Lymphadenitis/*microbiology MH - Male MH - Middle Aged MH - RNA, Bacterial/genetics MH - Reverse Transcriptase Polymerase Chain Reaction MH - Young Adult EDAT- 2017/07/03 06:00 MHDA- 2018/06/13 06:00 CRDT- 2017/07/03 06:00 PHST- 2017/03/07 00:00 [received] PHST- 2017/06/18 00:00 [accepted] PHST- 2017/07/03 06:00 [pubmed] PHST- 2018/06/13 06:00 [medline] PHST- 2017/07/03 06:00 [entrez] AID - 10.1007/s10096-017-3047-z [pii] AID - 10.1007/s10096-017-3047-z [doi] PST - ppublish SO - Eur J Clin Microbiol Infect Dis. 2017 Nov;36(11):2207-2213. doi: 10.1007/s10096-017-3047-z. Epub 2017 Jul 2.