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From trench fever to endocarditis

Aintree Cardiac Centre, University Hospital Aintree, Liverpool

Correspondence to:
Correspondence to:
Dr Paul Mann
Cardiothoracic Centre, Thomas Drive, Liverpool, L14 3PE, UK; Paul1Mann{at}aol.com

ABSTRACT
The case of a 44 year old woman with infective endocarditis due to Bartonella quintana, an organism long recognised to cause a condition known as trench fever, is reported. This case illustrates the lengthy differential diagnosis of "culture negative" endocarditis. In addition the presence of serological cross reactivity of Bartonella spp and Chlamydia spp demonstrates the potential for misdiagnosis in these circumstances.

Abbreviations: ESR, erythrocyte sedimentation rate; PCR, polymerase chain reaction

Keywords: bartonella; endocarditis; trench fever

This article has been cited by other articles:

				A. ZNAZEN, J.-M. ROLAIN, N. HAMMAMI, S. KAMMOUN, A. HAMMAMI, and D. RAOULT HIGH PREVALENCE OF BARTONELLA QUINTANA ENDOCARDITIS IN SFAX, TUNISIA Am J Trop Med Hyg, May 1, 2005; 72(5): 503 - 507. [Abstract] [Full Text] [PDF]