Intestinal bacteria might contribute, but bartonella henselae is capable of producing ammonia all by itself.
Excellent article. Bartonella phage induction is caused most likely by ammonia accumulation and it would be self limiting. This article clearly shows that Bartonella limits its own production which would be an excellent evolutionary survival mechanism. It also shows that physiological growth at a pH of 7.4 is reduced. This strengthens my theory that Bartonella is a secondary infection and not the primary cause of disease in people who are not immunocompromised. Only when infection lowers synovial and interstitial pH does Bartonella thrive. Other infections lower immune response and allow Bartonella to be problematic. We just don't see Bartonella causing devastating problems in people that don't have other severe issues.
Bartonella is not the reason for ammonia accumulation in Lyme patients.