Fatal myocarditis-associated Bartonella quintana endocarditis: a case reportReport as inadecuate




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Journal of Medical Case Reports

, 3:7325

First Online: 17 July 2009Received: 18 March 2008Accepted: 22 January 2009DOI: 10.4076-1752-1947-3-7325

Cite this article as: Montcriol, A., Benard, F., Fenollar, F. et al. J Med Case Reports 2009 3: 7325. doi:10.4076-1752-1947-3-7325

Abstract

IntroductionBartonella 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 presentationA 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.

ConclusionsThis 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.

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Author: Ambroise Montcriol - Fréderic Benard - Florence Fenollar - Alberto Ribeiri - Marc Bonnet - Fréderic Collart - Catherine G

Source: https://link.springer.com/







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