title: [A 22-year-old patient from Ghana with fever and reduced CD4 T-cell count].
abstract: A 22-year-old patient from Ghana without relevant co-morbidities was admitted twice with fever of unknown origin and reduced CD4 T-cell count. During the second hospital stay, after prolonged incubation of blood cultures and detection of vegetations on the mitral valve in a transesophageal echocardiogram, infectious endocarditis with Aggregatibacter aphrophilus was diagnosed. Treatment according to European guidelines resulted in resolution of the fever, dissolution of the mitral valve vegetations and recovery of CD4 T-cell count.
authors: Klinik für Innere Medizin II, Abteilung für Gastroenterologie, Hepatologie und Infektiologie, Universitätsklinikum Jena, Deutschland.
authors: H
authors: H
authors: Ghanem
authors: S
authors: S
authors: Hagel
authors: P
authors: P
authors: Keller
authors: D
authors: D
authors: Prochnau
authors: A
authors: A
authors: Stallmach
authors: M W
authors: MW
authors: Pletz
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D018791:CD4 Lymphocyte Count; D004452:Echocardiography / Q000379:methods; D004697:Endocarditis, Bacterial / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D005335:Fever of Unknown Origin / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control*; D005869:Ghana; D006801:Humans; D008297:Male
chemical_list: D000900:Anti-Bacterial Agents