Bartonella endocarditis mimicking adult Still's disease

Acta Clinica Belgica
K F De ClerckW J Stevens

Abstract

We describe the case of a 39-year-old Caucasian woman who was admitted to the University Hospital of Antwerp with a clinical picture suggestive of adult Still's disease. Even though a transoesophageal echocardiography showed endocarditis of the aortic valve, blood cultures remained negative. Additional serological testing revealed a positive result for Bartonella henselae. Histology of the supraclavicular lymph node showed a reactive lymph node with a positive polymerase chain reaction (PCR) for Bartonella henselae. Prednisolone treatment was started in a dosage of 10 mg per day and rifampicin 600 mg/d in combination with doxycyclin 200 mg/d was given for 6 months. During therapy the patient gradually improved and signs of endocarditis disappeared on echocardiography.

References

Sep 30, 1983·Science·D J WearF M King
Oct 15, 1996·Annals of Internal Medicine·D RaoultA M Sefton
Mar 8, 2003·Journal of Clinical Microbiology·Zaher ZeaiterDidier Raoult

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Citations

Mar 24, 2016·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Areum DureyJin-Soo Lee
Apr 14, 2018·Modern Rheumatology·Toshihide MimuraTakayuki Sumida

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