Bartonella quintana endocarditis: A case report

Majdi Maazoun, Fatma Hammami, Fatma Gassara, Khaoula Rekik, Makram Koubaa, Mounir Ben Jemaa

Article ID: 2361
Vol 5, Issue 1, 2024
DOI: https://doi.org/10.54517/ccr.v5i1.2361
VIEWS - 28 (Abstract)

Abstract

Endocarditis is a rare and potentially fatal infection of the endocardium. Bartonella endocarditis is an emerging disease that causes serious complications and high rates of mortality. Due to the fastidious nature of Bartonella species and their high degrees of antibiotic susceptibility, cultures of clinical samples most often remain sterile. The best specimens for polymerase chain reaction amplification are seldom available. The diagnosis of Bartonella infections relies mainly on serological methods. We report the case of a 58-year-old woman with dyslipidemia who presented with nocturnal fever, polyarthralgia, sweats and weight loss. The diagnosis of Bartonella endocarditis was confirmed by an indirect immunofluorescence assay. Medical treatment alone was efficient for our patient without any surgery.


Keywords

infective endocarditis; Bartonella quintana; antibiotics; Serological testing

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References

1. El-Dalati S, Cronin D, Shea M, et al. Clinical Practice Update on Infectious Endocarditis. The American Journal of Medicine. 2020, 133(1): 44-49. doi: 10.1016/j.amjmed.2019.08.022

2. Liesman RM, Pritt BS, Maleszewski JJ, et al. Laboratory Diagnosis of Infective Endocarditis. Kraft CS, ed. Journal of Clinical Microbiology. 2017, 55(9): 2599-2608. doi: 10.1128/jcm.00635-17

3. Fournier PE, Gouriet F, Casalta JP, et al. Blood culture-negative endocarditis. Medicine. 2017, 96(47): e8392. doi: 10.1097/md.0000000000008392

4. Edouard S, Nabet C, Lepidi H, et al. Bartonella, a Common Cause of Endocarditis: A Report on 106 Cases and Review. Patel R, ed. Journal of Clinical Microbiology. 2015, 53(3): 824-829. doi: 10.1128/jcm.02827-14

5. Fournier PE, Lelievre H, Eykyn SJ, et al. Epidemiologic and Clinical Characteristics of Bartonella quintana and Bartonella henselae Endocarditis. Medicine. 2001, 80(4): 245-251. doi: 10.1097/00005792-200107000-00003

6. Patel S, Richert ME, White R, et al. A Case of Bartonella Quintana Culture-Negative Endocarditis. American Journal of Case Reports. 2019, 20: 602-606. doi: 10.12659/ajcr.915215

7. Okaro U, Addisu A, Casanas B, et al. Bartonella Species, an Emerging Cause of Blood-Culture-Negative Endocarditis. Clinical Microbiology Reviews. 2017, 30(3): 709-746. doi: 10.1128/cmr.00013-17

8. Fournier PE, Mainardi JL, Raoult D. Value of Microimmunofluorescence for Diagnosis and Follow-up of Bartonella Endocarditis. Clinical and Vaccine Immunology. 2002, 9(4): 795-801. doi: 10.1128/cdli.9.4.795-801.2002

9. Habib G, Lancellotti P, Antunes MJ, et al. 2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). European Heart Journal. 2015, 36(44): 3075-3128. doi: 10.1093/eurheartj/ehv319

10. Raoult D, Fournier PE, Vandenesch F, et al. Outcome and Treatment of Bartonella Endocarditis. Archives of Internal Medicine. 2003, 163(2): 226-230. doi: 10.1001/archinte.163.2.226

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