Bartonella henselae endocarditis in an immunocompetent adult.
case_report · Level V
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Abstract
We describe a case of aggressive Bartonella henselae endocarditis in an immunocompetent man who owned a cat. Aortic valve replacement was required, and his infection was diagnosed by histology, serology, and polymerase chain reaction analysis. The manifestations of his disease included mediastinal lymphadenopathy, glomerulonephritis, myocarditis, and a petechial rash; the unusual finding of a positive titer of c-antineutrophil cytoplasmic antibodies was noted. Serological titers were markedly elevated for > 1 year despite clinical improvement.
Medical subject headings
- Aortic Valve
- Bartonella henselae
- Cat-Scratch Disease
- Endocarditis, Bacterial