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Bacteriology

Prosthetic Valve Endocarditis with Bartonella washoensis in a Human European Patient and Its Detection in Red Squirrels (Sciurus vulgaris)

Friederike D. von Loewenich, Christof Seckert, Elke Dauber, Marja J. L. Kik, Ankje de Vries, Hein Sprong, Katja Buschmann, Matthew L. Aardema, Moritz Brandstetter
Brad Fenwick, Editor
Friederike D. von Loewenich
aDepartment of Medical Microbiology and Hygiene, University of Mainz, Mainz, Germany
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Christof Seckert
aDepartment of Medical Microbiology and Hygiene, University of Mainz, Mainz, Germany
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Elke Dauber
aDepartment of Medical Microbiology and Hygiene, University of Mainz, Mainz, Germany
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Marja J. L. Kik
bDutch Wildlife Health Center, Utrecht University, Utrecht, The Netherlands
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Ankje de Vries
cCenter for Infectious Disease Control, National Institute for Public Health and Environment, Bilthoven, The Netherlands
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Hein Sprong
cCenter for Infectious Disease Control, National Institute for Public Health and Environment, Bilthoven, The Netherlands
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Katja Buschmann
dDepartment of Cardiothoracic and Vascular Surgery, University of Mainz, Mainz, Germany
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Matthew L. Aardema
eDepartment of Biology, Montclair State University, Montclair, New Jersey, USA
fSackler Institute for Comparative Genomics, The American Museum of Natural History, New York, New York, USA
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Moritz Brandstetter
aDepartment of Medical Microbiology and Hygiene, University of Mainz, Mainz, Germany
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Brad Fenwick
University of Tennessee at Knoxville
Roles: Editor
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DOI: 10.1128/JCM.01404-19
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ABSTRACT

Members of the genus Bartonella are fastidious Gram-negative facultative intracellular bacteria that are typically transmitted by arthropod vectors. Several Bartonella spp. have been found to cause culture-negative endocarditis in humans. Here, we report the case of a 75-year-old German woman with prosthetic valve endocarditis due to Bartonella washoensis. The infecting agent was characterized by sequencing of six housekeeping genes (16S rRNA, ftsZ, gltA, groEL, ribC, and rpoB), applying a multilocus sequence typing (MLST) approach. The 5,097 bp of the concatenated housekeeping gene sequence from the patient were 99.0% identical to a sequence from a B. washoensis strain isolated from a red squirrel (Sciurus vulgaris orientis) from China. A total of 39% (24/62) of red squirrel (S. vulgaris) samples from the Netherlands were positive for the B. washoensis gltA gene variant detected in the patient. This suggests that the red squirrel is the reservoir host for human infection in Europe.

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Prosthetic Valve Endocarditis with Bartonella washoensis in a Human European Patient and Its Detection in Red Squirrels (Sciurus vulgaris)
Friederike D. von Loewenich, Christof Seckert, Elke Dauber, Marja J. L. Kik, Ankje de Vries, Hein Sprong, Katja Buschmann, Matthew L. Aardema, Moritz Brandstetter
Journal of Clinical Microbiology Dec 2019, 58 (1) e01404-19; DOI: 10.1128/JCM.01404-19

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Prosthetic Valve Endocarditis with Bartonella washoensis in a Human European Patient and Its Detection in Red Squirrels (Sciurus vulgaris)
Friederike D. von Loewenich, Christof Seckert, Elke Dauber, Marja J. L. Kik, Ankje de Vries, Hein Sprong, Katja Buschmann, Matthew L. Aardema, Moritz Brandstetter
Journal of Clinical Microbiology Dec 2019, 58 (1) e01404-19; DOI: 10.1128/JCM.01404-19
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KEYWORDS

Bartonella washoensis
Europe
Sciurus vulgaris
endocarditis
human
multilocus sequence typing (MLST)
red squirrel
reservoir

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