BMJ Case Reports 2009; doi:10.1136/bcr.06.2008.0092
  • Unusual presentation of more common disease/injury

Bartonella endocarditis complicating congenital heart disease

  1. Nawwar Al-Attar1,
  2. Raymond Ruimy2,
  3. Franck Baron1,
  4. Ulrik Hvass1
  1. 1
    Bichat Hospital, 46 Rue Henri Huchard, Paris, 75018, France
  2. 2
    Bichat Hospital, AP-HP, EA 3964, 46 Rue Henri Huchard, University Denis Diderot-Paris 7 Medical School, Paris, Cedex 18, 75870, France
  1. Nawwar Al-Attar, nalattar{at}
  • Published 17 March 2009


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.


  • Competing interests: None.

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