title: Culture-negative bivalvular endocarditis with myocardial destruction in a patient with systemic lupus erythematosus: a case report.
abstract: Culture-negative endocarditis has long been associated with systemic lupus erythematosus, but is usually asymptomatic or involves a single valve. We present a patient with destructive culture-negative endocarditis that remains without a microbial etiology despite an exhaustive workup using advanced diagnostic techniques in a patient with systemic lupus erythematosus.
authors.affiliation: Section of Infectious Diseases, Temple University School of Medicine, Philadelphia, Pennsylvania, USA. Brett.Laurence@tuhs.temple.edu
authors.forename: Brett R
authors.initials: BR
authors.lastname: Laurence
authors.forename: Byungse
authors.initials: B
authors.lastname: Suh
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004696:Endocarditis / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D009206:Myocardium / Q000473:pathology*; D016133:Polymerase Chain Reaction