title: From trench fever to endocarditis.
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.
authors.affiliation: Aintree Cardiac Centre, University Hospital Aintree, Liverpool, UK. Paul1Mann@aol.com
authors.forename: P
authors.initials: P
authors.lastname: Mann
authors.forename: F
authors.initials: F
authors.lastname: Nye
authors.forename: G
authors.initials: G
authors.lastname: Williams
authors.forename: A
authors.initials: A
authors.lastname: Walker
authors.forename: A
authors.initials: A
authors.lastname: Amadi
mesh_terms: D000328:Adult; D018413:Bartonella quintana; D002637:Chest Pain / Q000382:microbiology; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004697:Endocarditis, Bacterial / Q000382:microbiology*; D005221:Fatigue / Q000382:microbiology; D005260:Female; D005334:Fever / Q000382:microbiology; D006801:Humans; D014205:Trench Fever / Q000175:diagnosis*