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Case Reports
. 2023 Dec 30;29(3):102201.
doi: 10.1016/j.jaccas.2023.102201. eCollection 2024 Feb 7.

Cat Scratch Endocarditis

Jacopo De Cristofaro  1 , Stefania Sacchi  1 , Luca Baldetti  1 , Francesco Calvo  1 , Mario Gramegna  1 , Vittorio Pazzanese  1 , Beatrice Peveri  1 , Lorenzo Cianfanelli  1 , Silvia Ajello  1 , Anna Mara Scandroglio  1
Affiliations
Case Reports

Cat Scratch Endocarditis

Jacopo De Cristofaro et al. JACC Case Rep. .

Abstract

We reported a case of blood culture-negative infective endocarditis on a native valve, where the clinical presentation was exclusively related to extensive cerebral ischemia secondary to multiple systemic septic cardioembolic events. The cause was ascribed to subacute Bartonella henselae infection, presumably transmitted by cat scratch, documented by positive serologic findings.

Keywords: B. henselae; blood culture-negative infective endocarditis; neurologic impairment.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Brain Magnetic Resonance Imaging Bilaterally supratentorial and subtentorial multiple embolic ischemic lesions, characterized by hyperintensity in diffusion-weighted imaging and T2-weighted fluid-attenuated inversion recovery sequences were observed.
Figure 2
Figure 2
Transesophageal Echocardiography A vegetation was detected on the native mitral valve, most evident at the anterior leaflet level, with extension to the posterior leaflet, and leading to moderate to severe regurgitation.
See this image and copyright information in PMC

References

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