From trench fever to endocarditis. Issue 937 (3rd December 2003)

• Record Type: Journal Article
• Authors: Mann, P; Nye, F; Williams, G; Walker, A; Amadi, A
• Is Part Of: Postgraduate medical journal. Volume 79:Issue 937(2003)
• Page Start: 655
• Page End: 656
• Publication Date: 2003-12-03
• Subjects: ESR, erythrocyte sedimentation rate -- PCR, polymerase chain reaction; bartonella -- endocarditis -- trench fever; Medicine -- Periodicals; 610
• DOI: 10.1136/pmj.79.937.655
• Languages: English
• ISSNs: 0032-5473

Abstract

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.