Urban trench fever presenting as culture-negative endocarditis.
A young Russian man presented with increasing shortness of breath and signs of worsening aortic regurgitation. A diagnosis of infective endocarditis was made before emergency valve replacement. The infective cause was not discovered by routine culture but was suggested by electron microscopy and confirmed by serology and PCR testing.
Department of Infectious Diseases and Microbiology, John Radcliffe Hospital, Oxford, Oxon OX39DU, UK. njenkins@liv.ac.uk
N E
NE
Jenkins
D J P
DJ
Ferguson
N J
NJ
Alp
T G
TG
Harrison
I C J W
IC
Bowler
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001022:Aortic Valve Insufficiency / Q000209:etiology* / Q000601:surgery; D001474:Bartonella Infections / Q000175:diagnosis* / Q000188:drug therapy; D018413:Bartonella quintana / Q000302:isolation & purification; D004417:Dyspnea / Q000209:etiology; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006351:Heart Valves / Q000382:microbiology; D006801:Humans; D008297:Male; D014205:Trench Fever / Q000175:diagnosis*
D000900:Anti-Bacterial Agents