Abstract
A patient with a prosthetic aortic valve, and culture negative endocarditis caused by Bartonella henselae presented with nonspecific constitutional symptoms, skin rash, and then later developed acute renal failure. The patient underwent redo sternotomy, aortic root, and ascending aorta replacement with a homograft, which resolved his symptoms and the renal failure.
© 2011 Wiley Periodicals, Inc.
MeSH terms
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Abscess / diagnosis
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Abscess / drug therapy
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Abscess / microbiology*
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Angiomatosis, Bacillary / diagnosis
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Angiomatosis, Bacillary / microbiology*
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Angiomatosis, Bacillary / therapy
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Anti-Bacterial Agents / therapeutic use
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Aortic Valve*
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Bartonella henselae / isolation & purification
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Diagnosis, Differential
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Echocardiography, Transesophageal
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Endocarditis, Bacterial / diagnosis
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Endocarditis, Bacterial / etiology*
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Endocarditis, Bacterial / therapy
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Follow-Up Studies
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Heart Valve Diseases / diagnosis
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Heart Valve Diseases / surgery*
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Heart Valve Prosthesis / adverse effects*
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Heart Valve Prosthesis / microbiology
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Humans
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Male
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Middle Aged
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Prosthesis-Related Infections / diagnosis
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Prosthesis-Related Infections / etiology*
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Prosthesis-Related Infections / therapy