Ticks Harbor Transmit Bartonella Sp.

See Studies Here

Bartonella organisms have been detected in ticks, fleas, chiggers, dogs, cats (Dr. Klinghardt states 90% of cats), sheep keds, mice, rats, cattlevoles, pigs, human wombshuman body lousepumavole ear mites, lice, flies, sand flies, bobcats, whales, elk, rabbits, animal saliva, mountain lionshuman saliva, dust mites, dolphins, bush rats, striped skunks, raccoons, mountain lions, bats, leeches, bed bugs, mosquitoes, mongoosemonkeys, poultry red (chicken) mitesCricetidae rodentswoyliesbandicoots, mardosdeer, squirrels, coyotes, red fox, grey fox, gerbil fleasgolden jackals, Libyan birdsrock hyraxes, southern white-breasted hedgehogs, porpoises, Cairo spiny mice, Tristram's jirds, house mice, bat flies and possibly spiders

Research is needed to determine if there are additional carriers, transmitters and more unidentified species of Bartonella.  Physicians need to be trained to look for Bartonella infections in their patients and more accurate tests must be developed to detect Bartonella species in both animals and humans.

A Serious Disease With
Potentially Serious Consequences

Lucy Barnes

Original Article- November 2008

Updated- May 2015, December 2015, July 2016, December 2016 

Bartonella henselae and Bartonella quintana, sometimes referred to as “cat-scratch” and “trench” fever respectively, are two types of intracellular gram negative bacteria which can cause severe, chronic health issues and sudden death.  Maryland residents are at high risk for exposure to various Bartonella bacteria.     

Possible signs and symptoms-  Typically a gradual onset of symptoms.  Central nervous system symptoms (muscle twitches, insomnia, mood swings, anxiety, antisocial behavior, tremors, irritability and seizures) are often more prominent and severe than other symptoms.  

Fatigue, dizziness, stiff legs, pain in feet (especially bottoms of feet- worse early in the morning), sweats, restlessness, myalgias, migrating pain (can be extreme) in and around joints,  heart attacks, heart valve problems, endocarditis (mortality 25%), cardiomegaly, strokes, skin rashes (including "stretch mark" like rashes that may or may not itch or burn), skin tags, burning and crawling sensations.  

(Rash Pictures Here)  

Aseptic meningitis, encephalopathy, fever (often low-grade), panic attacks, liver or spleen abnormalities, low-grade fever, abscesses, hot flashes, muscle cramps, confusion, abdominal pain, hepatitis, seizures (mild to severe), numbness in hands, rage, depression, misophonia, difficulty walking, facial numbness, wandering (usually unilateral) joint pain, urinary disorders, or arthritis can be present.  

Tender sub-cutaneous nodules may appear along the outer thigh, triceps shins and other areas of the extremities. 

Some patients experience acute and relapsing symptom patterns, painful headaches, lymphadenopathy, GI symptoms (gastritis, abdominal pain), cognitive dysfunction, joint swelling, CNS lesions, red splotches or slightly raised red spots on skin, lymph node swelling, skin manifestations (acne, stretch marks, subcutaneous nodules) and spider veins.

Patients may also experience bone pain- especially in shins (Bartonella quintana, aka shin bone fever) and along the rib cage, chest wall pain, ice-pick pain sensations in head, mild sore throat, bladder inflammation or IC, softening of bone, bone infections, radiculitis, difficulty swallowing, transverse myelitis, polyneuropathy, slurred speech, elevated liver enzymes, gall bladder dysfunction, crusty scalp, respiratory complications, personality disorders, bipolar disorder and irregular pulse.  

Bartonella can cause an array of eye related problems such as raccoon eyes (dark circles under/around eyes)dry eyes, conjunctivitis, neuroretinitis and a distortion or loss of vision.

Bartonella symptoms may wax and wane or appear to be in remission. Symptoms may return quickly if treatment is discontinued too soon.  See the "Ask The Experts" 2016 article with more Bartonella symptoms and photos. 

If not treated properly in the early stages, Bartonella can become a disabling or life-threatening condition that can be expensive and difficult to treat.  Bartonella has been misdiagnosed or mistaken for vasculitis, breast cancer, hepatitis, Kaposi’s sarcoma, splenic lymphoma and a variety of neurological and psychiatric illnesses.  People infected with Bartonella may also be coinfected with one or more of the 300 plus known Lyme strains, viruses and/or additional tick or vector borne diseases.

Bartonella rash forming shortly after a deer fly bite.

(Queen Anne County, Eastern Shore- Maryland)

More Bartonella Rash Photos- Click Here



Treat the patient, not the test!  

Testing Information 

Galaxy Lab- Galaxy Lab tests for at least 17 species of Bartonella.  They also test for at least 30 species of Ehrlichia, Rickettsia (spotted fevers) and Babesia. See which species are tested for each genus HERE.  

Quest Diagnostics: Bartonella Species Antibody (IGG, IGM) with Reflex to Titers- Code 34251x 

Treatment Information

There is no one-size-fits-all treatment protocol for Bartonella infections.  Doxycycline, rifampin, ciprofloxacin, erythromycin, tetracycline, clarithromycin, azithromycin or combinations of antibiotics have been used with varying degrees of success.  Retreatment is often necessary in long standing cases.  

To help locate a treating doctor in your area, please go to

Dr. Burrascano's Treatment Guidelines-  Please read the guidelines in full. They can be located by clicking here

QUOTE-  "The drug of choice to treat BLO is levofloxacin. Levofloxacin is usually never used for Lyme or Babesia, so many patients who have tick-borne diseases, and who have been treated for them but remain ill, may in fact be infected with BLO. 

Treatment consist of 500 mg daily (may be adjusted based on body weight) for at least one month. Treat for three months or longer in the more ill patient. It has been suggested that levofloxacin may be more effective in treating this infection if a proton pump inhibitor is added in standard doses.

Another subtlety is that certain antibiotic combinations seem to inhibit the action of levofloxacin, while others seem to be neutral. I advise against using an erythromycin-like drug, as clinically such patients do poorly. On the other hand, combinations with cephalosporins, penicillins and tetracyclines are okay. 

Alternatives to levofloxacin include rifampin, gentamicin and possibly streptomycin. A very recent article suggests that prior use of quinine-like drugs including atovaquone (Mepron, Malarone) may render Levaquin less effective. Therefore, in a co-infected patient, treat the BLO before you address Babesia species."

UPDATE October 2018- Quote from Bartonella researcher-  "It is increasingly obvious that Bartonella can induce enough vascular inflammation in a subset of patients that a pathologist will call the lesions "vasculitis" In most instances, subtle vascular injury is occurring, but a biopsy would not support a pathological diagnosis of vasculitis- lack of sensitivity."  Source  

Dr. Joseph Burrascano's 

Guidelines Here

Special note- Bartonella bacteremia has been detected in 89% beef cattle tested from Oklahoma and 17% of dairy cattle from California.  Recently, a study by the College of Veterinary Medicine at North Carolina State University reported finding one or more species of bartonella in 82.4% of cattle they tested.

UPDATE- July 2016-  Note from Lyme treating ophthalmologist:  "I usually see Bartonella as the cause of the most severe eye issues. Make sure to take lutein and zeaxanthin and fish oil to further protect your eyes."  Zeaxanthin and lutein information- click here.

Bartonella & Our Pets

Symptoms, Diagnosis, Treatment


Bartonella Study

Neurological & Immunological Dysfunction


Lyme and Bartonellosis


Galaxy Lab Presents

Understanding Bartonella 

Free medical education webinar



Click Here for Article

Additional Info & Articles

4,000 Year Old Tooth

Bart Horses

Bartonella Abstracts / Articles

Bartonella Dogs

Bartonella Hopkins

Bartonella in Birds

Bartonella In Bone

Bartonella in Eye Cataracts

Bartonella in Skeletons- Mass Grave

Bartonella in Ticks

Bartonella Misdiagnosed as Breast Cancer

Bartonella Prevalence

Bart Porpoises

Bart Salmonella Parvo

Bed Bugs Bartonella

Chronic Bartonella

Dolphin Whale Porpoise

Herxing Bartonella

Hopkins Attempts To Discredit Bartonella Study

Immunocompromised Hosts

Kissing Bug & Bartonella

Links to Articles

Bartonella: Diagnosis and Treatment - A Major Cause of Lyme Disease Complications and Psychiatric Problems (Part 1 of 2)

To purchase this book please click here.

Dr. James Schaller's Checklist for Bartonella 

For free online book, click here 

Bartonella Educational Youtube Video

Edward Breitschwerdt, DVM- 2014


The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. 

Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

Maryland Lyme does not recommend or endorse any specific tests, physicians, products, procedures, opinions or other information that may be mentioned on this website. Reliance on any information appearing on this website is solely at your own risk.

Last Updated- October 2018
Lucy Barnes
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