BARTONELLA HENSELAE ENDOCARDITIS IN AN IMMUNOCOMPETENT ADULT

被引：88

作者：

HOLMES, AH

GREENOUGH, TC

BALADY, GJ

REGNERY, RL

ANDERSON, BE

OKEANE, JC

FONGER, JD

MCCRONE, EL

机构：

[1] BOSTON UNIV,SCH MED,DEPT MED,BOSTON,MA 02118

[2] BOSTON UNIV,SCH MED,INFECT DIS SECT,BOSTON,MA 02118

[3] BOSTON UNIV,SCH MED,CARDIOL SECT,BOSTON,MA 02118

[4] BOSTON UNIV,SCH MED,PATHOL SECT,BOSTON,MA 02118

[5] BOSTON UNIV,HOSP MED CTR,DEPT CARDIOTHORAC SURG,BOSTON,MA

[6] UNIV MASSACHUSETTS,MED CTR,DIV INFECT DIS & IMMUNOL,WORCESTER,MA

[7] CTR DIS CONTROL & PREVENT,NATL CTR INFECT DIS,DIV VIRAL & RICKETTSIAL DIS,ATLANTA,GA 30341

来源：

CLINICAL INFECTIOUS DISEASES | 1995年 / 21卷 / 04期

关键词：

D O I：

10.1093/clinids/21.4.1004

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

We describe a case of aggressive Bartonella henselae endocarditis in an immunocompetent man who owned a cat. Aortic valve replacement was required, and his infection was diagnosed by histology, serology, and polymerase chain reaction analysis. The manifestations of his disease included mediastinal lymphadenopathy, glomerulonephritis, myocarditis, and a petechial rash; the unusual finding of a positive titer of c-antineutrophil cytoplasmic antibodies was noted. Serological titers were markedly elevated for >1 year despite clinical improvement.

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收藏

页码：1004 / 1007

页数：4

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