Evidence map›Paper›PMID 22269175›Full record

ArticleBMC infectious diseases2012

Granulomatous hepatitis due to Bartonella henselae infection in an immunocompetent patient.

Thomas R VanderHeyden, Sherri L Yong, Edward B Breitschwerdt, Ricardo G Maggi, Amanda R Mihalik, Jorge P Parada, Claus J Fimmel

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.0field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Experimental Infection of Ferrets withPathogens (Basel, Switzerland) · 2025
    Article
  3. Article
  4. Bacteremia caused byQuantitative imaging in medicine and surgery · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Pathogens (Basel, Switzerland) · 2022
    Article
  10. Review
  11. Hepatosplenic Cat Scratch Disease: Description of Two CasesSN comprehensive clinical medicine · 2021
    Review
  12. Hepatosplenic bartonellosis in immunocompetent adults: a case series and literature review.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Observational
  13. Pathogens (Basel, Switzerland) · 2020
    Article
  14. Hepatosplenic abscesses in an immunocompetent child with cat-scratch disease from Peru.Annals of clinical microbiology and antimicrobials · 2019
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Thomas R VanderHeydenDepartment of Internal Medicine, Division of Gastroenterology, Hepatology and Nutrition, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153, USA. tvanderheyden@lumc.edu
Sherri L Yong
Edward B Breitschwerdt
Ricardo G Maggi
Amanda R Mihalik
Jorge P Parada
Claus J Fimmel
Loyola University Medical Center · USNorth Carolina State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBartonella henselae (B. henselae) is considered a rare cause of granulomatous hepatitis. Due to the fastidious growth characteristics of the bacteria, the limited sensitivity of histopathological stains, and the non-specific histological findings on liver biopsy, the diagnosis of hepatic bartonellosis can be difficult to establish. Furthermore, the optimal treatment of established hepatic bartonellosis remains controversial. CASE PRESENTATION: We present a case of hepatic bartonellosis in an immunocompetent woman who presented with right upper quadrant pain and a five cm right hepatic lobe mass on CT scan. The patient underwent a right hepatic lobectomy. Surgical pathology revealed florid necrotizing granulomatous hepatitis, favoring an infectious etiology. Despite extensive histological and serological evaluation a definitive diagnosis was not established initially. Thirteen months after initial presentation, hepatic bartonellosis was diagnosed by PCR studies from surgically excised liver tissue. Interestingly, the hepatic granulomas persisted and Bartonella henselae was isolated from the patient's enriched blood culture after several courses of antibiotic therapy.

conclusionThe diagnosis of hepatic bartonellosis is exceedingly difficult to establish and requires a high degree of clinical suspicion. Recently developed, PCR-based approaches may be required in select patients to make the diagnosis. The optimal antimicrobial therapy for hepatic bartonellosis has not been established, and close follow-up is needed to ensure successful eradication of the infection.

Indexed as

AdultBartonella henselaeBartonella InfectionsBloodFemaleGranulomaHepatitisHistocytochemistryHumansLiverMicroscopyPolymerase Chain ReactionRadiography, AbdominalTomography, X-Ray Computed

Identifiers

PMID22269175
PMCPMC3287964
OpenAlexW2023926136

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.