Culture-negative endocarditis due to Bartonella quintana

Bartonella spp. was first described as a possible cause of culture-negative endocarditis in 1993, and has since emerged as a significant cause of this condition worldwide. We describe a complicated case of culture-negative endocarditis in an immune-competent male patient, which was confirmed on resected heart valves to have been caused by Bartonella quintana by broad-range 16S ribosomal RNA polymerase chain reaction. The objective of this report is to highlight the clinical, diagnostic and therapeutic challenges of Bartonella endocarditis.

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Bibliographic Details
Main Authors: Moodley,V M, Zeeman,M T S, van Greune,C H J, Corcoran,C
Format: Digital revista
Language:English
Published: South African Medical Association 2016
Online Access:http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0256-95742016000500029
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Summary:Bartonella spp. was first described as a possible cause of culture-negative endocarditis in 1993, and has since emerged as a significant cause of this condition worldwide. We describe a complicated case of culture-negative endocarditis in an immune-competent male patient, which was confirmed on resected heart valves to have been caused by Bartonella quintana by broad-range 16S ribosomal RNA polymerase chain reaction. The objective of this report is to highlight the clinical, diagnostic and therapeutic challenges of Bartonella endocarditis.