Abstract
Abstract Bartonella quintana infection is commonly associated with alcohol abuse and homelessness and can be a cause of blood culture-negative infective endocarditis. Bartonella endocarditis has a subacute clinical course and can cause severe valvular disruption with potentially fatal outcomes. Its diagnosis requires a high index of suspicion in the clinical scenario of culture-negative endocarditis and may require serological testing, western blotting, or culture in specialized media. 16S RNA amplification sequencing analysis and histopathological examination may be helpful if a surgical specimen is available. We present a case of blood culture-negative infective endocarditis in the context of active pulmonary tuberculosis; endocarditis caused by Mycobacteria tuberculosis is extremely rare so another cause of the endocarditis was sought. Bartonella quintana was confirmed as the cause by molecular detection done on the vegetation.
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
