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Title: [PCR rDNA 16S used for the etiological diagnosis of blood culture negative endocarditis]. Author: Baty G, Lanotte P, Hocqueloux L, Prazuck T, Bret L, Romano M, Mereghetti L. Journal: Med Mal Infect; 2010 Jun; 40(6):358-62. PubMed ID: 19796889. Abstract: We report the case of a 55 year-old man presenting with a double aortic and mitral endocarditis for which resected valve culture was repeatedly negative. Specific PCR made on valves because of highly positive blood tests for Bartonella henselae remained negative. A molecular approach was made with 16S rDNA PCR, followed by sequencing. Bartonella quintana was identified as the etiology of endocarditis. B. quintana, "fastidious" bacteria, even if hard to identify in a laboratory, is often reported as a blood culture negative endocarditis (BCNE) agent. Molecular biology methods have strongly improved the diagnosis of BCNE. We propose a review of the literature focusing on the interest of broad-spectrum PCR on valve for the etiological diagnosis of BCNE.[Abstract] [Full Text] [Related] [New Search]