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Postgrad Med J 2003;79:655-656 doi:10.1136/pmj.79.937.655
  • Case report

From trench fever to endocarditis

  1. P Mann,
  2. F Nye,
  3. G Williams,
  4. A Walker,
  5. A Amadi
  1. Aintree Cardiac Centre, University Hospital Aintree, Liverpool
  1. Correspondence to:
 Dr Paul Mann
 Cardiothoracic Centre, Thomas Drive, Liverpool, L14 3PE, UK; Paul1Mannaol.com
  • Received 9 February 2003
  • Accepted 21 April 2003

Abstract

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.

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