[An exceptional case of tricuspid infective endocarditis due to Bartonella henseale revealed by an old pulmonary embolism]

F Verdier-Watts; J-M Peloni; F Piegay; P Gérôme; A Aussoleil; G Durand-de-Gevigney; D Mioulet; V Griffet

doi:10.1016/j.ancard.2015.01.004

[An exceptional case of tricuspid infective endocarditis due to Bartonella henseale revealed by an old pulmonary embolism]

Ann Cardiol Angeiol (Paris). 2016 Feb;65(1):48-50. doi: 10.1016/j.ancard.2015.01.004. Epub 2015 Jan 19.

[Article in French]

Authors

F Verdier-Watts¹, J-M Peloni², F Piegay², P Gérôme³, A Aussoleil⁴, G Durand-de-Gevigney⁴, D Mioulet⁵, V Griffet⁵

Affiliations

¹ Service de cardiologie, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69275 Lyon cedex 03, France. Electronic address: [email protected].
² Service de pneumologie, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69275 Lyon cedex 03, France.
³ Service de biologie, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69275 Lyon cedex 03, France.
⁴ Fédération médicale de cardiologie, hôpital cardiologique Louis-Pradel, 28, avenue Doyen-Lépine, 69500 Lyon, France.
⁵ Service de cardiologie, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69275 Lyon cedex 03, France.

PMID: 25869466
DOI: 10.1016/j.ancard.2015.01.004

Abstract

We report a case of blood culture-negative tricuspid infective endocarditis revealed after tick bite by repeated pulmonary infection during one year due to septic pulmonary emboli in a 67-year-old farmer woman. Tricuspid vegetation and pulmonary emboli are calcified. Lyme serology is negative. Serologic test and PCR analysis are positive to Bartonella henselae. The evolution is favorable after antibiotic and anticoagulant treatment. Infective endocarditis due to B. henselae is an exceptional complication of cat scratch disease. You have to think about in case of blood culture-negative endocarditis with calcified valvular lesions even without cat bite, tick seems to be vector of the bacteria.

Keywords: Bartonella henselae; Cat scratch disease; Embolie pulmonaire; Endocardite infectieuse; Endocarditis; Maladie des griffes du chat; Piqûre de tique; Pulmonary embolism.

Publication types

Case Reports

MeSH terms

Aged
Angiomatosis, Bacillary / diagnosis*
Bartonella henselae / isolation & purification
Endocarditis, Bacterial / microbiology*
Female
Humans
Pulmonary Embolism / etiology*
Tick Bites / complications
Tricuspid Valve / microbiology*