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
Received: 30 October 2023; Accepted: 4 January 2024; Available online: 12 February 2024; Issue release: 30 June 2024


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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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