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Published 17 March 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.06.2008.0092]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Unusual presentation of more common disease/injury

Bartonella endocarditis complicating congenital heart disease

Nawwar Al-Attar1, Raymond Ruimy2, Franck Baron1, Ulrik Hvass1

1 Bichat Hospital, 46 Rue Henri Huchard, Paris, 75018, France
2 Bichat Hospital, AP-HP, EA 3964, 46 Rue Henri Huchard, University Denis Diderot-Paris 7 Medical School, Paris, Cedex 18, 75870, France

Correspondence to:
Nawwar Al-Attar, nalattar{at}gmail.com

SUMMARY

The present report describes a case of Bartonella henselae endocarditis affecting an adolescent with congenital heart disease. A teenager from Eastern Europe was referred to for surgical treatment of aortic endocarditis. She admitted close contact with cats. Blood culture was negative. Diagnosis of B henselae was established on direct PCR amplification and 16SrRNA gene sequencing of the aortic valve tissue and confirmed after 4 weeks by valve culture isolate. The patient underwent extended root replacement (the Ross–Konno operation) with a favourable outcome.


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