Bartonella endocarditis mimicking adult Still's disease.

Abstract:

:We describe the case of a 39-year-old Caucasian woman who was admitted to the University Hospital of Antwerp with a clinical picture suggestive of adult Still's disease. Even though a transoesophageal echocardiography showed endocarditis of the aortic valve, blood cultures remained negative. Additional serological testing revealed a positive result for Bartonella henselae. Histology of the supraclavicular lymph node showed a reactive lymph node with a positive polymerase chain reaction (PCR) for Bartonella henselae. Prednisolone treatment was started in a dosage of 10 mg per day and rifampicin 600 mg/d in combination with doxycyclin 200 mg/d was given for 6 months. During therapy the patient gradually improved and signs of endocarditis disappeared on echocardiography.

journal_name

Acta Clin Belg

journal_title

Acta clinica Belgica

authors

De Clerck KF,Van Offel JF,Vlieghe E,Van Marck E,Stevens WJ

doi

10.1179/acb.2008.030

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

190-2

issue

3

eissn

1784-3286

issn

2295-3337

journal_volume

63

pub_type

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