meta pixel

The Main Bartonella Signs and Symptoms

Bartonella

The frequency of some of these is flawed. Lymph node symptoms are only about 1-3%, and it can go away despite ongoing infection.

The reporting that mental symptoms are rare is wrong. I published some in 2007, and in recent years, Breitschwerdt, Maggi, and their team and associates have published extensive psychiatric, neuropsychology, and neurology suffering.

# Symptom / Sign Frequency Species / Context Representative Reference(s)
1 Regional lymphadenopathy Common B. henselae Florin 2008; Spach 1998
2 Tender lymph nodes Common B. henselae Florin 2008; Hansmann 2013
3 Fever Common B. henselae, B. quintana Spach 1998; Breitschwerdt 2017
4 Fatigue Common All Bartonella spp. Breitschwerdt 2017; Florin 2008
5 Papule at inoculation site Common B. henselae Florin 2008
6 Rash Common B. henselae Florin 2008; Hansmann 2013
7 Headache Common B. henselae, B. quintana Spach 1998; Breitschwerdt 2017
8 Myalgias Common All Bartonella spp. Breitschwerdt 2017
9 Arthralgias Common All Bartonella spp. Breitschwerdt 2017
10 Malaise Common All Bartonella spp. Florin 2008
11 Night sweats Less common B. quintana, chronic bartonellosis Breitschwerdt 2017; Koehler 1997
12 Weight loss Less common Chronic infection Breitschwerdt 2017
13 Abdominal pain Less common B. henselae, hepatosplenic disease Florin 2008; Hansmann 2013
14 Nausea Less common All Bartonella spp. Breitschwerdt 2017
15 Vomiting Less common All Bartonella spp. Breitschwerdt 2017
16 Anorexia Less common Chronic infection Breitschwerdt 2017
17 Insomnia Less common Chronic bartonellosis Breitschwerdt 2017
18 Anxiety Less common Chronic bartonellosis Breitschwerdt 2017
19 Depression Less common Chronic bartonellosis Breitschwerdt 2017
20 Brain fog Less common Neurobartonellosis Slater 2003; Breitschwerdt 2017
21 Difficulty concentrating Less common Neurobartonellosis Slater 2003; Breitschwerdt 2017
22 Memory impairment Less common Neurobartonellosis Slater 2003
23 Irritability Less common Chronic bartonellosis Breitschwerdt 2017
24 Restlessness Less common Chronic bartonellosis Breitschwerdt 2017
25 Lymph node pain Common B. henselae Florin 2008
26 Enlarged spleen Less common Hepatosplenic bartonellosis Florin 2008; Hansmann 2013
27 Enlarged liver Less common Hepatosplenic bartonellosis Florin 2008; Hansmann 2013
28 Elevated liver enzymes Less common Hepatosplenic disease Florin 2008
29 Hepatosplenic microabscesses Uncommon/Rare B. henselae Florin 2008; Hansmann 2013
30 Chest pain Less common B. quintana, endocarditis Koehler 1997; Spach 1998
31 Palpitations Less common Cardiac involvement Koehler 1997
32 Dyspnea Less common Endocarditis/cardiac disease Koehler 1997
33 Heart murmur Uncommon/Rare Endocarditis Koehler 1997
34 Endocarditis Uncommon/Rare B. quintana, B. henselae Koehler 1997; Spach 1998
35 Conjunctivitis Less common Cat-scratch disease variants Hansmann 2013
36 Neuroretinitis Uncommon/Rare B. henselae Solley 2002
37 Visual blurring Less common Ocular bartonellosis Solley 2002
38 Eye pain Less common Ocular bartonellosis Solley 2002
39 Photophobia Less common Ocular bartonellosis Solley 2002
40 Parinaud oculoglandular syndrome Uncommon/Rare B. henselae Hansmann 2013; Florin 2008
41 Encephalopathy Uncommon/Rare Neurobartonellosis Slater 2003
42 Meningitis Uncommon/Rare Neurobartonellosis Slater 2003
43 Seizures Uncommon/Rare CNS bartonellosis Slater 2003
44 Altered mental status Uncommon/Rare CNS bartonellosis Slater 2003
45 Ataxia Uncommon/Rare CNS bartonellosis Slater 2003
46 Tremor Less common CNS involvement Slater 2003
47 Peripheral neuropathy Less common Neurobartonellosis Slater 2003
48 Radicular pain Less common Neurobartonellosis Slater 2003; Breitschwerdt 2017
49 Paresthesias Less common Neurobartonellosis Slater 2003
50 Foot drop Uncommon/Rare Peripheral nerve involvement Slater 2003
51 Facial palsy Less common Cranial neuropathy Slater 2003
52 Bilateral Bell’s palsy Uncommon/Rare Cranial neuropathy Slater 2003
53 Photopsia Less common Ocular involvement Solley 2002
54 Floaters Less common Ocular involvement Solley 2002
55 Retinal vasculitis Uncommon/Rare Ocular bartonellosis Solley 2002
56 Uveitis Uncommon/Rare Ocular bartonellosis Solley 2002
57 Chorioretinitis Uncommon/Rare Ocular bartonellosis Solley 2002
58 Conjunctival injection Less common Oculoglandular disease Hansmann 2013
59 Tender scratch lesion Common Cat-scratch disease Florin 2008
60 Inoculation eschar Less common Some Bartonella infections Breitschwerdt 2017
61 Papular eruption Common Cat-associated infection Florin 2008
62 Vesicular lesion Uncommon/Rare Cutaneous bartonellosis Florin 2008
63 Bacillary angiomatosis Uncommon/Rare B. henselae, B. quintana Spach 1998; Hansmann 2013
64 Purplish vascular lesions Uncommon/Rare Bacillary angiomatosis Spach 1998
65 Petechiae Less common Systemic infection Breitschwerdt 2017
66 Purpura Less common Systemic infection Breitschwerdt 2017
67 Epistaxis Less common Vasculitic/cutaneous disease Breitschwerdt 2017
68 Easy bruising Less common Systemic bartonellosis Breitschwerdt 2017
69 Joint swelling Less common Reactive arthritis Florin 2008
70 Monoarthritis Less common B. henselae Florin 2008
71 Polyarthritis Less common Chronic bartonellosis Breitschwerdt 2017
72 Migratory joint pain Common Cat-scratch disease/systemic infection Florin 2008
73 Bone pain Less common Osteoarticular disease Hansmann 2013
74 Osteomyelitis Uncommon/Rare Bartonella spp. Hansmann 2013
75 Back pain Less common Vertebral/osseous disease Breitschwerdt 2017
76 Neck pain Less common Lymphadenitis/CNS disease Breitschwerdt 2017
77 Shoulder pain Less common Musculoskeletal involvement Breitschwerdt 2017
78 Hip pain Less common Musculoskeletal involvement Breitschwerdt 2017
79 Gait disturbance Less common Neurobartonellosis Slater 2003
80 Weakness Less common Systemic/CNS bartonellosis Breitschwerdt 2017
81 Lethargy Common Systemic infection Florin 2008
82 Chills Common Systemic infection Spach 1998
83 Sweats Less common Chronic infection Breitschwerdt 2017
84 Low-grade fever Common Bartonella spp. Spach 1998
85 High fever Less common Acute infection Spach 1998
86 Sore throat Less common Systemic infection Breitschwerdt 2017
87 Cough Less common Pulmonary involvement Breitschwerdt 2017
88 Hoarseness Less common Systemic/ENT involvement Breitschwerdt 2017
89 Sinus pain Less common ENT involvement Breitschwerdt 2017
90 Ear pain Less common ENT involvement Breitschwerdt 2017
91 Lymphatic streaking Common Cat-scratch disease Florin 2008
92 Regional edema Less common Local inflammatory response Florin 2008
93 Severe localized pain Less common Lymphadenitis Florin 2008
94 Myositis Uncommon/Rare Systemic bartonellosis Breitschwerdt 2017
95 Swollen hands/feet Less common Vascular/inflammatory disease Breitschwerdt 2017
96 Raynaud-like symptoms Less common Vascular dysregulation Breitschwerdt 2017
97 Autonomic dysfunction Less common Neurobartonellosis Slater 2003
98 Dizziness Less common Autonomic/CNS involvement Slater 2003
99 Syncope Uncommon/Rare Cardiac/autonomic involvement Koehler 1997; Slater 2003
100 Orthostatic intolerance Less common Autonomic dysfunction Slater 2003
101 Sleep disturbance Less common Chronic bartonellosis Breitschwerdt 2017
102 Cognitive slowing Less common Neurobartonellosis Slater 2003
103 Mood swings Less common Neuropsychiatric involvement Breitschwerdt 2017
104 Hyperactivity/inner agitation Less common Neuropsychiatric involvement Breitschwerdt 2017
105 Hallucinations Uncommon/Rare Severe CNS disease Slater 2003
106 Delirium Uncommon/Rare Severe CNS disease Slater 2003
107 Encephalitis Uncommon/Rare CNS bartonellosis Slater 2003
108 Vasoproliferative skin lesions Uncommon/Rare Bacillary angiomatosis Spach 1998
109 Endothelial proliferation lesions Uncommon/Rare Bacillary angiomatosis Spach 1998
110 Relapsing symptoms after partial improvement Less common Chronic/persistent bartonellosis Breitschwerdt 2017

Notes

This is a reconstructed clinical table, not a verified line-by-line extraction.

Some symptoms overlap across Bartonella species and syndromes.

Citations are representative, not exhaustive.

Schedule A Consultation

FILL OUT THE FORM OR CALL US

WHAT HAPPENS IN A CONSULTATION?

01. Get to know Dr. Schaller.

02. Help him understand you and your concerns.

03. He makes you comfortable physically and runs complete tests to direct your cure.

REQUEST A CONSULTATION

* All indicated fields must be completed.
Please include non-medical questions and correspondence only.
Your contact information is never shared or sold, and we do not send texts without being asked.

Accessibility Toolbar