Pericardial effusion in a homeless man due to Bartonella quintana.
Bartonella quintana may cause trench fever, endocarditis, bacillary angiomatosis, and chronic bacteremia, and a reemergence among homeless populations in cities has been noted. Pericarditis from Rickettsia conorii and Coxiella burnetii infection has been described, but there have been no reports of pericarditis due to Bartonella spp. We report a case of pericardial effusion due to Bartonella quintana in a homeless man, diagnosed on the basis of PCR detection of Bartonella quintana in a pericardial biopsy sample and a fourfold rise in antibody titers. The patient recovered within 2 weeks with antibiotics active against bartonellae.
Levy
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PY
Unité des Rickettsies, IFR48, CNRS UMR 6020, Faculté de Médecine, Université de la Méditerranée, 13385 Marseille Cedex 05, France.
Fournier
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PE
Carta
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M
Raoult
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D000328:Adult; D000658:Amoxicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D018413:Bartonella quintana / Q000235:genetics / Q000302:isolation & purification*; D001483:Base Sequence; D017931:DNA Primers; D006703:Ill-Housed Persons; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000382:microbiology*; D016133:Polymerase Chain Reaction; D016896:Treatment Outcome; D014205:Trench Fever / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D017931:DNA Primers; D000658:Amoxicillin