Fatal myocarditis-associated Bartonella quintana endocarditis: A case report

被引：11

作者：

Montcriol A. ^{[1
]}

Benard F. ^{[1
]}

Fenollar F. ^{[2
]}

Ribeiri A. ^{[3
]}

Bonnet M. ^{[1
]}

Collart F. ^{[3
]}

Guidon C. ^{[1
]}

机构：

[1] Department of Anesthesia and Intensive Care Unit, Hopital la Timone, 13885 Marseille Cedex 5, rue Saint Pierre

[2] Unité des Rickettsies, Université de la Méditerranée, 13885 Marseille Cedex 5, rue Saint Pierre

[3] Department of Cardiac Surgery, Hopital la Timone, 13885 Marseille Cedex 5, rue Saint Pierre

来源：

Journal of Medical Case Reports | / 3卷 / 1期

关键词：

Endocarditis; Infective Endocarditis; Left Ventricle Ejection Fraction; Systolic Pulmonary Arterial Pressure; Fulminant Myocarditis;

D O I：

10.4076/1752-1947-3-7325

中图分类号：

学科分类号：

摘要：

Introduction. Bartonella spp. infection is not rare and must be considered with great care in patients with suspected infective endocarditis, particularly if regular blood cultures remain sterile. Management of these infections requires knowledge of the identification and treatment of these bacteria. Case presentation. A 50-year-old Senegalese man was admitted to our Department of Cardiac Surgery with a culture-negative endocarditis. Despite valvular surgery and adequate antibiotic treatment, recurrence of the endocarditis was observed on the prosthetic mitral valve. Heart failure required circulatory support. Weaning off the circulatory support could not be attempted owing to the absence of heart recovery. Bacteriological diagnosis of Bartonella quintana endocarditis was performed by molecular methods retrospectively after the death of the patient. Conclusions. This case report underlines the severity and difficulty of the diagnosis of Bartonella quintana endocarditis. The clinical picture suggested possible Bartonella quintana associated myocarditis, a feature that should be considered in new cases. © 2009 licensee BioMed Central Ltd.

引用

共 15 条

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