Bartonella endocarditis in a child with tetralogy of Fallot complicated by PR3-ANCA positive serology, autoimmune hemolytic anemia, and acute kidney injury

James M Williams; Manoj Parimi; Jamie Sutherell

doi:10.1002/ccr3.1589

Bartonella endocarditis in a child with tetralogy of Fallot complicated by PR3-ANCA positive serology, autoimmune hemolytic anemia, and acute kidney injury

Clin Case Rep. 2018 May 21;6(7):1264-1267. doi: 10.1002/ccr3.1589. eCollection 2018 Jul.

Authors

James M Williams¹, Manoj Parimi¹, Jamie Sutherell¹

Affiliation

¹ Department of Pediatric Cardiology Saint Louis University School of Medicine St. Louis MO USA.

Abstract

Although the role of ANCA in infective endocarditis is unclear, Bartonella henselae has been implicated as the culprit in cases of PR3-ANCA positive subacute bacterial endocarditis (SBE) with glomerulonephritis. In this case, a Coombs-positive autoimmune hemolytic anemia and glomerulonephritis accompanied a PR3-ANCA positive SBE caused by Bartonella henselae.

Keywords: cardiovascular disorders; hematology; infectious diseases; pediatrics and adolescent medicine.

Publication types

Case Reports