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Journal of Clinical Microbiology, November 2003, p. 5291-5293, Vol. 41, No. 11
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.11.5291-5293.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.

Pericardial Effusion in a Homeless Man Due to Bartonella quintana

P. Y. Levy,1,2 P. E. Fournier,1 M. Carta,2 and D. Raoult1*

Unité des Rickettsies, IFR48, CNRS UMR 6020, Faculté de Médecine, Université de la Méditerranée, 13385 Marseille Cedex 05,1 Clinique la Casamance, 13400 Aubagne, France2

Received 25 June 2003/ Accepted 4 August 2003

Bartonella quintana may cause trench fever, endocarditis, bacillary angiomatosis, and chronic bacteremia, and a reemergence among homeless populations in cities has been noted. Pericarditis from Rickettsia conorii and Coxiella burnetii infection has been described, but there have been no reports of pericarditis due to Bartonella spp. We report a case of pericardial effusion due to Bartonella quintana in a homeless man, diagnosed on the basis of PCR detection of Bartonella quintana in a pericardial biopsy sample and a fourfold rise in antibody titers. The patient recovered within 2 weeks with antibiotics active against bartonellae.


* Corresponding author. Mailing address: Unité des Rickettsies, IFR48, CNRS UMR 6020, Faculté de Médecine, Université de la Méditerranée 27 Blvd. Jean Moulin, 13385 Marseille Cedex 05, France. Phone: (33) 491 38 55 17. Fax: (33) 491 83 03 90. E-mail: didier.raoult{at}medecine.univ-mrs.fr.


Journal of Clinical Microbiology, November 2003, p. 5291-5293, Vol. 41, No. 11
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.11.5291-5293.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.




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