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A young Russian man presented with increasing shortness of breath and signs of worsening aortic regurgitation. A diagnosis of infective endocarditis was made before emergency valve replacement. The infective cause was not discovered by routine culture but was suggested by electron microscopy and confirmed by serology and PCR testing.

Original publication

DOI

10.1093/qjmed/hcn118

Type

Journal article

Journal

QJM

Publication Date

01/2009

Volume

102

Pages

63 - 65

Keywords

Anti-Bacterial Agents, Aortic Valve Insufficiency, Bartonella Infections, Bartonella quintana, Dyspnea, Endocarditis, Bacterial, Heart Valves, Humans, Male, Trench Fever