Bartonella Symptoms

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Bartonella Symptoms: Recognizing This Stealthy Infection

While bartonellosis was once considered to be a mild, short-lived illness, medical professionals now recognize that Bartonella can cause a wide range of health problems. The infection can affect many parts of the body. While some people may not show any signs of infection, others can experience chronic, relapsing symptoms that persist or return over time.

Common Bartonella Symptoms

One of the most common signs of infection are swollen lymph nodes (often near the head, neck and arms).

Other symptoms include:

  • Fever

    Most Common
  • Fatigue

    Most Common
  • Muscle and joint pain

    Most Common
  • Chills

  • Headaches

  • Night sweats

  • Abdominal pain

  • Eye inflammation

In some cases, Bartonella infection can affect the nervous system, leading to neurological or psychiatric symptoms. Common neurological signs include blurred vision, numbness in the arms or legs, memory difficulties, problems with balance, an unsteady gait (ataxia), and tremors. The infection can also trigger psychiatric symptoms like mood changes, anxiety, depression, and panic attacks. And, in severe cases, Bartonella can cause endocarditis (heart inflammation).

Bartonella is a stealth infection that hides inside red blood cells.

Bartonella Rash: A Hallmark Sign

Bartonella can affect the skin in a variety of ways. The appearance of the rash may vary depending on the species of Bartonella involved and the stage of illness.

In cat scratch disease, which is caused by the species Bartonella henselae, the infection often begins with a small red bump or blister at the site of the scratch or bite. This can be followed by tender, swollen lymph nodes near the area and, in some cases, a more widespread rash.

In other forms of bartonellosis, the skin may develop streaks, reddish patches, or lesions that can be mistaken for stretch marks. This is a hallmark sign of Bartonella. These markings, sometimes referred to as “Bartonella striae,” can appear on the arms, trunk, or legs.

Unlike typical stretch marks, a Bartonella rash may be red, purple, or tender, and it often does not follow the usual patterns associated with skin stretching.

Note: The information presented on this page has been reviewed and approved by a member of our Medical Leadership Board.

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