Infective endocarditis due to Bartonella bacilliformis associated with systemic vasculitis: a case report

被引:10
作者
Penafiel-Sam, Joshua [1 ]
Alarcon-Guevara, Samuel [1 ]
Chang-Cabanillas, Sergio [1 ]
Perez-Medina, Wilkerson [2 ]
Mendo-Urbina, Fernando [1 ,3 ]
Ordaya-Espinoza, Eloy [1 ,4 ]
机构
[1] Univ Peruana Ciencias Aplicadas, Escuela Med, Lima, Peru
[2] Hosp Nacl Edgardo Rebagliati Martins, Serv Reumatol, Lima, Peru
[3] Hosp Nacl Edgardo Rebagliati Martins, Serv Infectol, Lima, Peru
[4] Univ Minnesota, Dept Med, Box 736 UMHC, Minneapolis, MN 55455 USA
关键词
Infective endocarditis; Bartonella bacilliformis; Systemic vasculitis;
D O I
10.1590/0037-8682-0042-2017
中图分类号
R38 [医学寄生虫学]; Q [生物科学];
学科分类号
07 ; 0710 ; 09 ; 100103 ;
摘要
Infective endocarditis due to Bartonella bacilliformis is rare. A 64-year-old woman, without previous heart disease, presented with 6 weeks of fever, myalgias, and arthralgias. A systolic murmur was heard on the tricuspid area upon examination, and an echocardiogram showed endocardial lesions in the right atrium. Bartonella bacilliformis was isolated in blood cultures, defining the diagnosis of infective endocarditis using Duke's criteria. Subsequently, the patient developed clinical and laboratory features compatible with antineutrophil cytoplasmic antibody-associated vasculitis. This case presents an uncommon complication of B. bacilliformis infection associated with the development of systemic vasculitis.
引用
收藏
页码:706 / 708
页数:3
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