AI Article Synopsis
- Bartonella quintana and Bartonella pediococcus are rare infections linked to endocarditis, particularly affecting socially disadvantaged individuals with conditions like urban trench fever.
- The diagnosis is challenging as B. quintana can take 20-40 days to grow in blood cultures, complicating early detection and treatment.
- A case is presented where a patient developed an infection in a bioprosthetic heart valve due to both B. quintana and B. pediococcus following valve replacement surgery.
Article Abstract
Bartonella quintana and Bartonella pediococcus infections are very rare causes of endocarditis. Urban trench fever with relapsing febrile illness, headache, leg pain, and endocarditis has now begun to be a more important cause of disease in socially disadvantaged persons. The diagnosis is difficult because the growth of B. quintana in blood culture takes 20-40 days. B. pediococcus may be an opportunistic pathogen in severely compromised hosts, although it has been described as a harmless bacterium. We describe a patient who developed bioprosthetic valve infection with B. quintana and B. pediococcus after valve replacement.
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| http://dx.doi.org/10.1532/HSF98.20071204 | DOI Listing |
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