Culture-negative Endocarditis Caused by Bartonella henselae

(Department of Cardiovascular Surgery, Okinawa Chubu Hospital, Uruma, Japan)

Toshiho Tengan Junya Yokoyama Akio Nakasu
Hiroshi Yasumoto Hidemitsu Mototake
There is Bartonella henselae(B. henselae) leads to cat-scratch disease and causes infective endocarditis, but shows as negative in blood cultures. We performed aortic valve replacement in a patient with aortic valve infective endocarditis which was regative on blood cultures. The patient had a contact history with a cat prior to admission. Thus, we suspected B. henselae and made a definitive diagnosis by PCR method and Warthin-Starry(WS)stain. A correct diagnosis was possible by detailed history taking and the use of appropriate antibiotics.
  Jpn. J. Cardiovasc. Surg. 41:46-48(2012)

Keywords:negative blood cultures, Bartonella henselae, cat-scratch disease, bacterial endocarditis, aortic regurgitation, aortic valve replacement