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Fatal myocarditis-associated Bartonella quintana endocarditis: a case report
INTRODUCTION: Bartonella spp. infection is not rare and must be considered with great care in patients with suspected infective endocarditis, particularly if regular blood cultures remain sterile. Management of these infections requires knowledge of the identification and treatment of these bacteria...
Autores principales: | , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2009
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2737767/ https://www.ncbi.nlm.nih.gov/pubmed/19830188 http://dx.doi.org/10.4076/1752-1947-3-7325 |
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author | Montcriol, Ambroise Benard, Fréderic Fenollar, Florence Ribeiri, Alberto Bonnet, Marc Collart, Fréderic Guidon, Catherine |
author_facet | Montcriol, Ambroise Benard, Fréderic Fenollar, Florence Ribeiri, Alberto Bonnet, Marc Collart, Fréderic Guidon, Catherine |
author_sort | Montcriol, Ambroise |
collection | PubMed |
description | INTRODUCTION: Bartonella spp. infection is not rare and must be considered with great care in patients with suspected infective endocarditis, particularly if regular blood cultures remain sterile. Management of these infections requires knowledge of the identification and treatment of these bacteria. CASE PRESENTATION: A 50-year-old Senegalese man was admitted to our Department of Cardiac Surgery with a culture-negative endocarditis. Despite valvular surgery and adequate antibiotic treatment, recurrence of the endocarditis was observed on the prosthetic mitral valve. Heart failure required circulatory support. Weaning off the circulatory support could not be attempted owing to the absence of heart recovery. Bacteriological diagnosis of Bartonella quintana endocarditis was performed by molecular methods retrospectively after the death of the patient. CONCLUSIONS: This case report underlines the severity and difficulty of the diagnosis of Bartonella quintana endocarditis. The clinical picture suggested possible Bartonella quintana associated myocarditis, a feature that should be considered in new cases. |
format | Text |
id | pubmed-2737767 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-27377672009-10-14 Fatal myocarditis-associated Bartonella quintana endocarditis: a case report Montcriol, Ambroise Benard, Fréderic Fenollar, Florence Ribeiri, Alberto Bonnet, Marc Collart, Fréderic Guidon, Catherine J Med Case Reports Case report INTRODUCTION: Bartonella spp. infection is not rare and must be considered with great care in patients with suspected infective endocarditis, particularly if regular blood cultures remain sterile. Management of these infections requires knowledge of the identification and treatment of these bacteria. CASE PRESENTATION: A 50-year-old Senegalese man was admitted to our Department of Cardiac Surgery with a culture-negative endocarditis. Despite valvular surgery and adequate antibiotic treatment, recurrence of the endocarditis was observed on the prosthetic mitral valve. Heart failure required circulatory support. Weaning off the circulatory support could not be attempted owing to the absence of heart recovery. Bacteriological diagnosis of Bartonella quintana endocarditis was performed by molecular methods retrospectively after the death of the patient. CONCLUSIONS: This case report underlines the severity and difficulty of the diagnosis of Bartonella quintana endocarditis. The clinical picture suggested possible Bartonella quintana associated myocarditis, a feature that should be considered in new cases. BioMed Central 2009-07-17 /pmc/articles/PMC2737767/ /pubmed/19830188 http://dx.doi.org/10.4076/1752-1947-3-7325 Text en Copyright ©2009 licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case report Montcriol, Ambroise Benard, Fréderic Fenollar, Florence Ribeiri, Alberto Bonnet, Marc Collart, Fréderic Guidon, Catherine Fatal myocarditis-associated Bartonella quintana endocarditis: a case report |
title | Fatal myocarditis-associated Bartonella quintana endocarditis: a case report |
title_full | Fatal myocarditis-associated Bartonella quintana endocarditis: a case report |
title_fullStr | Fatal myocarditis-associated Bartonella quintana endocarditis: a case report |
title_full_unstemmed | Fatal myocarditis-associated Bartonella quintana endocarditis: a case report |
title_short | Fatal myocarditis-associated Bartonella quintana endocarditis: a case report |
title_sort | fatal myocarditis-associated bartonella quintana endocarditis: a case report |
topic | Case report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2737767/ https://www.ncbi.nlm.nih.gov/pubmed/19830188 http://dx.doi.org/10.4076/1752-1947-3-7325 |
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