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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

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If symptoms persist despite treatment, reassess the diagnosis rather than automatically extending antibiotics. Consider confirmation with appropriate serology/PCR and evaluation for endocarditis, retinitis/CNS disease, osteomyelitis, or immunosuppression, depending on symptoms.

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Chronic Bartonella infections typically require prolonged combination antibiotic therapy, such as doxycycline paired with rifampin or gentamicin, lasting from six weeks to several months. In severe cases steroids are given for symptomatic relief. Bartonella infection can go away, but how it behaves depends heavily on your overall health, the specific species of bacteria, and whether you receive treatment. Work on your lifestyle

Requires a proper assessment to understand the underlying cause and guide you. Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.

Get the b.henslae igG and PCR, Cbp,crp,esr,kft,lft,urine analysis done and update me with the reports. Get in touch with me through practo consultation. We'll move to further management after examining the test reports thoroughly. Even though its a self limiting condition we should not take the risk.

current persistent symptoms cannot be attributed to active Bartonella infection based on a positive serology alone. Cat-scratch disease is usually self-limited, although uncommon neurologic, musculoskeletal, ocular, hepatosplenic and cardiac complications can occur.

Your history of a cat scratch followed by flu-like illness makes Bartonella henselae (cat-scratch disease) a possible diagnosis. However, persistent symptoms for 1 year such as weight loss, fatigue, joint pain and radicular symptoms need a fresh evaluation. A positive Bartonella antibody test alone does not establish that you currently have an active infection. Cat-scratch disease usually causes fever and lymph-node enlargement near the site of the scratch. Less commonly, it can cause neurological, ocular, bone or other systemic complications.

Infectious disease specalist

It is a case of car scratch disease Do you have the same symptoms now also ( even after one year of incidence) When did it came positive for bartonella? If there are symptoms a long course of antibiotic will be required Kindly consult with me on practo app I will guide you through

It is a self limiting condition.dont take medicine like antibiotics for prolong duration without consulting doctors.

Based on your history, the cat scratch and positive Bartonella henselae test do make cat-scratch disease a possibility. However, a positive Bartonella antibody test alone does not necessarily mean that you still have an active infection one year later. Serology can remain positive and can also have cross-reactivity with other infections. Typical cat-scratch disease usually causes a local skin lesion followed by nearby lymph-node enlargement, fever and malaise, and most uncomplicated cases gradually resolve over weeks to months. Neurological or other systemic complications are uncommon. Since you continue to have weight loss, fatigue, joint pain and particularly radiculopathy for a year, I would not simply assume that all of these symptoms are due to persistent Bartonella. You need a proper reassessment to look for both ongoing Bartonella-related disease and other possible causes of these symptoms. Please take the actual Bartonella report with the IgM/IgG values and reference ranges, along with all previous investigations and treatment records, to an Infectious Diseases physician/Internal Medicine specialist. Depending on your examination and history, they may decide whether repeat serology, PCR from an appropriate specimen, imaging, neurological evaluation or other investigations are warranted. PCR is a diagnostic option, although its sensitivity varies depending on the specimen and clinical situation.

It's a minor disorder which resolves easily but specific antibiotic plans should be started since I think your joint pain is migrating which is concerning in itself. For further evaluation book an appointment or u can also consult me on WA on seven four nine nine one eight six two zero five