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SAMJ: South African Medical Journal

On-line version ISSN 2078-5135
Print version ISSN 0256-9574

Abstract

MOODLEY, V M; ZEEMAN, M T S; VAN GREUNE, C H J  and  CORCORAN, C. Culture-negative endocarditis due to Bartonella quintana. SAMJ, S. Afr. med. j. [online]. 2016, vol.106, n.5, pp.470-471. ISSN 2078-5135.  http://dx.doi.org/10.7196/samj.2016.v106i5.9062.

Bartonella spp. was first described as a possible cause of culture-negative endocarditis in 1993, and has since emerged as a significant cause of this condition worldwide. We describe a complicated case of culture-negative endocarditis in an immune-competent male patient, which was confirmed on resected heart valves to have been caused by Bartonella quintana by broad-range 16S ribosomal RNA polymerase chain reaction. The objective of this report is to highlight the clinical, diagnostic and therapeutic challenges of Bartonella endocarditis.

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