Culture-negative Endocarditis Caused by Bartonella henselae
10.4326/jjcvs.41.46
- VernacularTitle:Bartonella henselae による感染性心内膜炎の1例
- Author:
Toshiho Tengan
;
Junya Yokoyama
;
Akio Nakasu
;
Hiroshi Yasumoto
;
Hidemitsu Mototake
- Publication Type:Journal Article
- Keywords:
negative blood cultures;
Bartonella henselae cat-scratch disease;
bacterial endocarditis;
aortic regurgitation;
aortic valve replacement
- From:Japanese Journal of Cardiovascular Surgery
2012;41(1):46-48
- CountryJapan
- Language:Japanese
-
Abstract:
There is Bartonella henselae (B. henselae) leads to cat-scratch disease and causes infective endocarditis, but shows as negative in blood cultures. We performed aortic valve replacement in a patient with aortic valve infective endocarditis which was regative on blood cultures. The patient had a contact history with a cat prior to admission. Thus, we suspected B. henselae and made a definitive diagnosis by PCR method and Warthin-Starry (WS) stain. A correct diagnosis was possible by detailed history taking and the use of appropriate antibiotics.