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Review
. 2011 Jun 1;3(1):e9.
doi: 10.4081/idr.2011.e9. eCollection 2011 Mar 8.

The first reported case of Bartonella endocarditis in Thailand

Orathai Pachirat  1 , Michael Kosoy  2 , Ying Bai  2 , Sompop Prathani  1 , Anucha Puapairoj  1 , Nordin Zeidner  2 , Leonard F Peruski  3 , Henry Baggett  3 , George Watt  3 , Susan A Maloney  3
Affiliations
Review

The first reported case of Bartonella endocarditis in Thailand

Orathai Pachirat et al. Infect Dis Rep. .

Abstract

Bartonella species have been shown to cause acute, undifferentiated fever in Thailand. A study to identify causes of endocarditis that were blood culture-negative using routine methods led to the first reported case in Thailand of Bartonella endocarditis A 57 year-old male with underlying rheumatic heart disease presented with severe congestive heart failure and suspected infective endocarditis. The patient underwent aortic and mitral valve replacement. Routine hospital blood cultures were negative but B. henselae was identified by serology, PCR, immunohistochemistry and specific culture techniques.

Keywords: Thailand.; bartonella; cat scratch disease; endocarditis.

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Conflict of interest statement

Conflict of interest: the authors report no conflicts of interest.

Figures

Figure 1
Figure 1
Transthoracic echocardiography showing two large vegetations (Veg), one at the aortic valve (right arrow) and one at the mitral valve (bottom arrow).
Figure 2
Figure 2
Immunoalkaline phosphatase staining of resected heart valve tissue using a monoclonal antibody reactive only with Bartonella henselae shows bacteria staining red (20× magnification).
See this image and copyright information in PMC

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