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Bartonella Quintana prosthetic aortitis successfully treated with doxycycline
  1. Zaal Meher-Homji1,
  2. Stephen R Graves2,
  3. Jason Trubiano1 and
  4. Natasha E Holmes1
  1. 1 Department of Infectious Diseases, Austin Health, Heidelberg, Victoria, Australia
  2. 2 Australian Rickettsial Reference Laboratory, University Hospital Geelong, Geelong, Victoria, Australia
  1. Correspondence to Dr Zaal Meher-Homji, zaalmh{at}


Bartonella quintana is a rare cause of culture-negative endovascular infection, characterised by intracellular persistence. We describe a case of ascending aortic prosthetic graft infection due to B. quintana, in a patient with past unrecognised necrotising aortitis, which was successfully treated with doxycycline monotherapy.

  • infectious diseases
  • cardiothoracic surgery
  • infections

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  • Contributors ZM-H: literature review, manuscript preparation. SRG: laboratory testing/interpretation, manuscript editing. JT: clinical care, manuscript editing. NEH: clinical care, manuscript editing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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