Cure of bartonella endocarditis of a prosthetic aortic valve without surgery: value of serologic follow-up.
Bartonella species are emerging as an important cause of blood culture-negative endocarditis, but the optimal management of this disease has not been fully defined. We describe a case of subacute Bartonella henselae endocarditis of a prosthetic aortic valve in an immunocompetent woman that was cured with long-term antibiotic therapy alone. In addition, we demonstrate that follow-up of serologic titers against B. henselae was helpful in assessing definitive cure of the infection.
Lesprit
P
P
Service d'Immunologie Clinique, Hôpital Henri Mondor, 51 avenue du Maréchal de Lattre, 94010 Créteil, France. phillipe.lesprit@hmn.ap-hop-paris.fr
Noël
V
V
Chazouillères
P
P
Brun-Buisson
C
C
Deforges
L
L
D000368:Aged; D016917:Angiomatosis, Bacillary / Q000188:drug therapy / Q000382:microbiology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D000907:Antibodies, Bacterial / Q000097:blood*; D001021:Aortic Valve / Q000382:microbiology*; D018416:Bartonella henselae / Q000187:drug effects* / Q000276:immunology / Q000302:isolation & purification; D004697:Endocarditis, Bacterial / Q000188:drug therapy* / Q000382:microbiology; D005260:Female; D006350:Heart Valve Prosthesis / Q000382:microbiology*; D006801:Humans; D016459:Prosthesis-Related Infections / Q000188:drug therapy / Q000382:microbiology; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial