Open AccessBartonella endocarditis complicating congenital heart disease
Author(s) -
Nawwar AlAttar,
Raymond Ruimy,
Franck Baron,
Ulrik Hvass
Publication year - 2009
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.06.2008.0092
Subject(s) - medicine , bartonella henselae , bartonella , endocarditis , cat scratch disease , infective endocarditis , blood culture , rare disease , aortic valve , heart disease , heart murmur , surgery , disease , cardiology , antibiotics , virology , microbiology and biotechnology , immunology , serology , antibody , biology
The present report describes a case of Bartonella henselae endocarditis affecting an adolescent with congenital heart disease. A teenager from Eastern Europe was referred to for surgical treatment of aortic endocarditis. She admitted close contact with cats. Blood culture was negative. Diagnosis of B henselae was established on direct PCR amplification and 16SrRNA gene sequencing of the aortic valve tissue and confirmed after 4 weeks by valve culture isolate. The patient underwent extended root replacement (the Ross-Konno operation) with a favourable outcome.