Unusual presentation of more common disease/injury
Bartonella endocarditis complicating congenital heart disease
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
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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