Infective endocarditis can be difficult to diagnose, especially when blood culture-negative. We describe a case of a patient who presented with signs and symptoms of new, acute decompensated heart failure who was found to have culture-negative endocarditis, a large, mobile aortic valve mass, and torrential aortic regurgitation. Although the patient remained clinically stable during early admission and was planned for surgical correction of the valvular pathology, he suffered abrupt clinical decompensation which resulted in cardiac arrest. Postmortem serologies were found to be positive for Bartonella henselae and Bartonella quintana.
Pecchia, MD, MS, Brandon and Kieffer, MD, Sawyer
"A Case of Bartonella Endocarditis and Torrential Aortic Regurgitation Leading to Cardiac Arrest,"
The Medicine Forum: Vol. 24, Article 8.
Available at: https://jdc.jefferson.edu/tmf/vol24/iss1/8