Author/Authors :
Plantinga, Nienke L. Department of Medical Microbiology - University Medical Centre Utrecht, Utrecht, The Netherlands , Vos, Roemer J. Department of Cardiothoracic Surgery - St. Antonius Hospital, Nieuwegein, The Netherlands , Georgieva, Lyuba Department of Internal Medicine - Beatrix Hospital, Gorinchem, The Netherlands , Roescher, Nienke Department of Medical Microbiology and Immunology - St. Antonius hospital, Nieuwegein, The Netherlands
Abstract :
An otherwise healthy patient, with minimal clinical, biochemical and peroperative signs of infection, was diagnosed with Bartonella quintana prosthetic valve endocarditis by 16S PCR. The patient subsequently developed a post-sternotomy mediastinitis and Bartonella quintana was the only detected pathogen. Bartonella quintana can cause severe infections in individuals not classically at risk, and may be missed in the routine diagnostic work-up of endocarditis.
Keywords :
Blood culture negative endocarditis , mediastinitis , 16S PCR sequencing , Bartonella quintana
