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Journal of Clinical Microbiology, December 2007, p. 4081-4084, Vol. 45, No. 12
0095-1137/07/$08.00+0     doi:10.1128/JCM.01095-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Bivalvular Bartonella henselae Prosthetic Valve Endocarditis{triangledown}

Holenarasipur R. Vikram,1* A. Kirstin Bacani,2 Patrick A. DeValeria,3 Scott A. Cunningham,4 and Franklin R. Cockerill III4

Division of Infectious Diseases,1 Department of Internal Medicine,2 Division of Cardiovascular and Thoracic Surgery, Mayo Clinic, Phoenix, Arizona,3 Department of Clinical Microbiology, Mayo Clinic, Rochester, Minnesota4

Received 31 May 2007/ Returned for modification 20 August 2007/ Accepted 9 October 2007

Prosthetic valve endocarditis is an uncommon manifestation of infection with Bartonella species. Herein, we report a case of Bartonella henselae endocarditis involving prosthetic mitral and aortic valves. The patient had a favorable outcome with combined medical and surgical therapy. Concomitant crescentic glomerulonephritis led to an initial mistaken diagnosis of Wegener's granulomatosis.

* Corresponding author. Mailing address: Division of Infectious Diseases, Mayo Clinic (Phoenix Campus), 5777 East Mayo Blvd., Phoenix, AZ 85054. Phone: (480) 342-0115. Fax: (480) 342-2324. E-mail: vikram.hr{at}mayo.edu

{triangledown} Published ahead of print on 17 October 2007.

Journal of Clinical Microbiology, December 2007, p. 4081-4084, Vol. 45, No. 12
0095-1137/07/$08.00+0     doi:10.1128/JCM.01095-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.





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