Bartonella henselae infective endocarditis with dissemination: A case report and literature review in Southeast Asia

摘要

Bartonellais among the most common causes of culture-negative infective endocarditis, withB. henselaebeing one of the most frequently reported species. The clinical presentation ofBartonellaendocarditis is similar to that of subacute bacterial endocarditis caused by other bacteria and the diagnosis can be challenging since the organism is difficult to isolate using standard microbiologic culture techniques. In clinical practice,Bartonellaendocarditis is usually diagnosed based on serology. To date, only a handful of cases of infective endocarditis caused byBartonellahave been reported in Thailand. Here, we report the case of 51-year-old Thai male withB. henselaeendocarditis with dissemination to the lungs, bones, subcutaneous tissue, epididymis, and lymph nodes with a successful outcome.