Culture negative endocarditis caused by Bartonella henselae in a child with congenital heart disease.
A 9-year-old white male with congenital aortic and subaortic stenosis palliated by the Ross-Konno procedure presented with culture-negative endocarditis. Serologic studies and polymerase chain reaction testing of resected homograft valvular tissue provided evidence of Bartonella henselae as the etiology. B. henselae can cause endocarditis in children, particularly those with underlying valvular disease. Serologic testing for B. henselae should be considered in children with culture-negative endocarditis.
Das
Bibhuti B
BB
Division of Cardiology, Department of Pediatrics, University of Louisville School of Medicine, Louisville, KY, USA.
Wasser
Emily
E
Bryant
Kristina A
KA
Woods
Charles R
CR
Yang
Song-Gui
SG
Zahn
Matt
M
D016917:Angiomatosis, Bacillary / Q000175:diagnosis* / Q000382:microbiology; D000907:Antibodies, Bacterial / Q000097:blood; D001024:Aortic Valve Stenosis / Q000150:complications* / Q000601:surgery; D018416:Bartonella henselae / Q000302:isolation & purification*; D002648:Child; D004269:DNA, Bacterial / Q000235:genetics; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000382:microbiology; D006330:Heart Defects, Congenital / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D016133:Polymerase Chain Reaction; D012698:Serologic Tests
D000907:Antibodies, Bacterial; D004269:DNA, Bacterial