Abstract

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

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