Bartonella native valve endocarditis: the first brazilian case alive and well
Braz. j. infect. dis
;
11(6): 591-594, Dec. 2007. ilus
Artigo
em Inglês
| 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:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Infecções por Bartonella
/
Bartonella henselae
/
Endocardite Bacteriana
Tipo de estudo:
Estudo diagnóstico
/
Estudo de etiologia
Limite:
Animais
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Braz. j. infect. dis
Assunto da revista:
Doenças Transmissíveis
Ano de publicação:
2007
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
FIOCRUZ/BR
/
National Institute of Cardiology/BR
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