© 2003 Fellowship of Postgraduate Medicine
CASE REPORT
From trench fever to endocarditis
Aintree Cardiac Centre, University Hospital Aintree, Liverpool
Correspondence to:
Correspondence to:
Dr Paul Mann
Cardiothoracic Centre, Thomas Drive, Liverpool, L14 3PE, UK; Paul1Mann{at}aol.com
The case of a 44 year old woman with infective endocarditis due to Bartonella quintana, an organism long recognised to cause a condition known as trench fever, is reported. This case illustrates the lengthy differential diagnosis of "culture negative" endocarditis. In addition the presence of serological cross reactivity of Bartonella spp and Chlamydia spp demonstrates the potential for misdiagnosis in these circumstances.
Abbreviations: ESR, erythrocyte sedimentation rate; PCR, polymerase chain reaction
Keywords: bartonella; endocarditis; trench fever
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ZNAZEN, A., ROLAIN, J.-M., HAMMAMI, N., KAMMOUN, S., HAMMAMI, A., RAOULT, D.
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