Hey After all Dr. M R does not know of what he is talking about
. I would avoid DR. MR.
Here:
Bartonella Infections
Jean-Marc Rolain, Didier Raoult, in Goldman's Cecil Medicine (Twenty Fourth Edition), 2012
The Pathogen
Bartonella species are small, gram-negative, fastidious, pleomorphic coccobacilli or slightly curved rods (0.5 by 1 to 2 µm). !!!!!Because of the slow growth of these bacteria!!!!! and the lack of reproducible biochemical methods for their identification, they are usually identified using molecular methods. Recently, matrix-assisted laser desorption/ionization time-of-flight mass spectrometry has emerged as a new technique for species identification and is an accurate and reproducible method for the rapid and inexpensive identification of Bartonella species. The bacteria can grow on enriched blood-containing media with a 5% carbon dioxide atmosphere after 5 to 15 days to up to 45 days on primary culture. The optimal growth temperature ranges from 28° C for B. bacilliformis to 35 to 37° C for the other species. Bartonella species can also be cocultured with endothelial cells. Bartonella species are either flagellated or nonflagellated cells. B. bacilliformis uses flagella for binding and deforming into the surface of erythrocytes. Bacteria can either persist in the blood stream of the host as intra-erythrocytic parasites or colonize human endothelial cells.
Post Edited (isitlyme) : 12/8/2019 2:17:10 PM (GMT-7)