Bartonella native valve endocarditis: the first brazilian case alive and well
Braz. j. infect. dis
;
11(6): 591-594, Dec. 2007. ilus
Artículo
en Inglés
| LILACS
| ID: lil-476631
ABSTRACT
Bartonella is an important cause of blood culture-negative endocarditis in recent studies. Seroprevalence studies in the States of Minas Gerais and Rio de Janeiro have shown Bartonella IgG positivity around 14 percent in healthy adults and 40 percent in HIV seropositive adults, respectively. A case report of a 46-year-old white male with moderate aortic regurgitation (AR) due to rheumatic heart disease (RHD), admitted due to worsening heart failure, is presented. Clinical features were apyrexia, anemia, polyclonal hypergammaglobulinemia, hematuria and splenomegaly. He was submitted to surgery due to worsening AR. Histopathology of the excised valve showed active bacterial endocarditis and underlying RHD. Routine blood cultures were negative. Indirect immunofluorescence (IFI) assays for Coxiella burnetii were non-reactive. Bartonella henselae IgG titer was 14096 prior to antibiotics and 1512 14 months after treatment. History of close contact with a young cat during the months preceding his admission was elicited.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Infecciones por Bartonella
/
Bartonella henselae
/
Endocarditis Bacteriana
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
Límite:
Animales
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Braz. j. infect. dis
Asunto de la revista:
Enfermedades Transmisibles
Año:
2007
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
FIOCRUZ/BR
/
National Institute of Cardiology/BR
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